VOLUNTEER APPLICATION
Basic Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
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Do you speak any languages other than English?
Spanish
Vietnamese
Chinese
German
French
Hindi
Korean
Other
Do you have any allergies or medical conditions you would like to make us aware of?
*
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Do you have any convictions, other than parking violations?
*
No
Yes
If yes, please explain your conviction history.
Volunteer History and Special Skills
Have you volunteered with WHAM before?
*
Yes
No
Why do you want to volunteer with WHAM?
*
Please list any training, education, or certification relevant to volunteering with WHAM
Please tell us about any of your previous volunteer work, if applicable
How did you hear about WHAM?
*
Church
Family
Friend
WHAM Volunteer
Online
School
Other
Are you currently a WHAM client
*
Yes
No
If you are a current client, when was your last date you received services from WHAM?
-
Month
-
Day
Year
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Volunteering Preferences
Which area(s) are you interested in volunteering in?
*
Front Desk
Virtual Volunteer
Employment
Pantry
Fundraising
Care Ministries
IT
Second Blessings
Special Events
Bookkeeping
Maintenance
Custodial
Which days would you be available to volunteer?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day works best for you to volunteer?
*
Morning
Midday
Afternoon
Night
References
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Submit
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