Volunteer with Us!

Volunteer with Us!

Thank you for your interest in volunteering with The Arc of Atlantic County. Please fill out the application and we will be in touch with current opportunities.
Applicant Information:

Please complete the fields below. You will have an opportunity to add attachments at the end of this application.
Name

First NameLast Name
Date of Birth
Enter 00/00/0000
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
E-mail
Sex
Emergency Contact:

Please provide contact information in the event we need to reach someone in an emergency.
Emergency Contact

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
How did you hear about The Arc?
Availability:

Please let us know your availability and interests.
Date Available

MonthDayYear
Frequency

Other
Available
Program Interest

Other
Community Service Needs:

Please let us know if you are required to volunteer in order to fulfill the community service hours stemming from a personal or work-related incident. Please attach any relevant paperwork.
Are you required to be here?
If YES, how many hours need to be met?
By what date?

MonthDayYear
Who do we need to contact?

First NameLast Name
Phone Number

Area CodePhone Number
Agency/Employer
Experience:

Please share any relevant volunteer or work experience that you think would be helpful in determining your volunteer role with The Arc.
Do you have volunteer experience?
Applicable Skills

Other
Do you have a special talent or passion that you would be interested in sharing with individuals who attend The Arc's Adult Day Habilitation Program? If yes, please explain.
If you are a college student looking to fulfill class requirements, please enter a summary of your request.
References:

Please provide two personal or professional references.
Reference #1

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Reference #2

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Background Check:

Please note, all volunteers are subject to a background check.
Have you ever been convicted of a crime?
If YES, title of convicted crime
Details of the above (and/or multiple charges)
Date of charge?

MonthDayYear
Applicant Signature
Upload any necessary documents

Upload a File

Cancelof
Parent/Guardian Signature
The information that I have provided may be verified, and I give The Arc of Atlantic County permission to make inquiry of others concerning my suitability to act as a volunteer for the agency. It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for its cancellation. The relationship between The Arc of Atlantic County and volunteers is an "at will" arrangement and may be terminated at any time without prior notice. Failure to disclose accurate information may result in termination of said volunteer agreement.
Should be Empty:

Volunteer with Us!

Applicant Information:

Emergency Contact:

Availability:

Community Service Needs:

Experience:

References:

Background Check: