Volunteer Application Form printable pdf download

VOLUNTEER APPLICATION FORM

The following information will help us understand your interests and the resources

which you bring to volunteer work, and enable us to make plans that will ensure the

most satisfying experience for you as a volunteer. Thank you.

First Name:

__________________ Last Name: ___________________ M/F: _____

Address: ______________________________________________________________

Street

City

State

Zip

Home Phone: ________________________

Work Phone: _____________________

Email: ________________________ Cell Phone: ______________________________

Emergency Contact:_______________________________ Phone:________________

TIME YOU HAVE AVAILABLE FOR VOLUNTEER WORK:

Hours per week or month: ________________________________________________

Any preferred days or hours? ______________________________________________

How much advance notice would you usually need? ___________________________

Do you have a car and can you show proof of insurance? Y/N______ Would you be

willing to drive it to transport Stephen’s Place residents as part of your volunteer work?

Yes: _____ No: _____

Uncertain: _____

ARE YOU PRESENTLY EMPLOYED? _________

If yes, hours per week: _____

WORK EXPERIENCE: __________________________________________________

_____________________________________________________________________

PRIOR EXPERIENCE AS A VOLUNTEER OR IN COMMUNITY ACTIVITIES:

_____________________________________________________________________

VOLUNTEER APPLICATION FORM

Use only as authorized by

Stephen’s Place 2-15

initials _____

Volunteer Application Form