Volunteer Application
Name
First Name
Last Name
Birthday
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Month
-
Day
Year
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Phone Number
-
Area Code
Phone Number
E-mail
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Status
Full Time
Part Time
Student
Retired
Hours Per Week
Employer
Can You Receive Phone Calls at Work? If YES, Please Provide Work Phone Number.
Do You Have Reliable Transportation?
Yes
No
List the Reasons You Want to Become a Volunteer with safehope. Describe your expectations.
Is There Additional Information You Feel We Should Know About You? (i.e. days or times during the year you are not available)
What Types of Volunteer Work Are You Interested In?
Sorting Items
Mailings
Office
Childcare
Cooking
Victim Advocacy
Shelter/Crisis Line
Experience/Training with Domestic Violence and/or Sexual Violence.
Other Experiences or Trainings That Would be Useful as a Volunteer.
What Day(s) and Time(s) Would You Like to Volunteer?
We Appreciate a Four-Hour Shift Weekly for Shelter Volunteers
Please Mark When You Are Available
Rows
MON
TUE
WED
THU
FRI
SAT
SUN
AM
AM
PM
PM
How Often?
Weekly
Monthly
When Are You Available to Start?
-
Month
-
Day
Year
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Background Check
A background check is required to volunteer on a regular basis; please fill out the below form from the National Screening Bureau. Cost is $24.50 to complete the background check, a donation to pay for this charge is always appreciated.
References (no family members please)
Rows
Name
Relationship
Address
Pone Number
How Long
How did you hear about us?
Church Bulletin
Friend
Newspaper
A Volunteer
Other
Community Service Applicants
Please list your professional contact as a reference above.
How Many Hours of Service Do You Need to Complete?
Submit
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