The Lighthouse Community Center Volunteer Application

The Lighthouse Community Center Volunteer Application
Full Name*

First NameLast Name
Contact No.

Area CodePhone Number
E-mail*
Emergency Contact :
Emergency Contact Phone Number

Area CodePhone Number
Volunteer Availability?

Any timeWeekdaysOther
Interested in:

Wherever neededFood PickupSoup Kitchen (5 days/week: 10-2pm)Bike ShopCustodial ServicesReentry Supportive ServicesCommunity Service
If selecting Court Appointed Community Service Hours, Please specify how many hours required:
Special Skills or Qualifications from employment, previous volunteer work or through other activities including hobbies or sports:
Agreement and Signature:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Signature
Our Policy:

It is the policy of this organization to provide equal opportuities without regard to race, color, religion, national orgin, gender, sexual preference, age, or disability.
Should be Empty:

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