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Personal Contact Information

Do You Have A Valid (State) Driver’s License?
Have You Ever Been Convicted For Violation Of Any Laws, Traffic Or Otherwise?
Do You Have Any Physical Condition that May Limit Your Activities?

Previous Volunteer Experience


Availability and Volunteer Assignment Preferences

I Am Available:
Please Check All That Are Applicable:


Please list three persons we may call who are NOT family, one of whom may be your religious or spiritual leader, teacher, employer or relationship other than personal friend

Privacy Practice Statement

We protect your personal information and adhere to all legislative requirements with respect to privacy. We do not rent, sell or trade or lists of volunteers. We use your personal information to keep informed and up to date activities of the organization and its specific programs including, but not limited to; opportunities to volunteer, upcoming events, educational opportunities, and seasonal greeting.

Required information to be obtained; when it is applicable to the job description being performed by the volunteer.
● Criminal Record Check
● Driver’s License
● Agreement to Organizations Policies
● Confidentiality Agreemen

I give permission to verify the credentials that I have presented:

Please read the following before signing this application:

I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified. I understand that misrepresentations or omissions may cause for my immediate rejection as an applicant for a volunteer position or my termination as a volunteer.

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