Volunteer Application


Section 1: Personal and Contact Information

Last Name:

First Name:


Apt. No.:



Postal Code:


Phone - Home:

Phone - Business:

Phone - Cell:

I prefer to receive calls at:

Best Time to Call:

Are you 18 years of age or older?:

If no, please tell us your age:

Section 2: Education

If you are currently a student please complete this section

Formal education is not required to be a volunteer. We welcome experience of all kinds!

Name of School:

Grade Level/Year of Study:

Are you receiving credit for your volunteer work?:

Required number of hours:

Section 3: Volunteer Work

Please list organizations in your community that you are involved with, including community clubs, schools, religious organizations, professional associations, non-profit organizations, sporting organizations, etc.


Your Responsibilities:

Is there a specific volunteer role that you are interested in?:

Other (specify):

Check your reason(s) for volunteering:

Other (specify):

Check how you found out about our volunteer program:

Other (specify):

Section 4: Availibility

Please check the preferred time period(s) that you are available to volunteer.

Monday Tuesday Wednesday Thursday Friday
Morning yes yes yes yes yes
Afternoon yes yes yes yes yes
Evening yes yes yes yes yes

How many times per week would you like to volunteer?:

Are you interested in volunteering for special projects or events? :

Section 5: References

Name Organization How do you know the applicant? Phone Number/Email

Section 6: Health Information

Please list any intellectual or physical disabilities or health problems which may affect your ability to perform as a volunteer and that you wish to have taken into consideration when determining a volunteer placement.

Who would you like us to contact in case of an emergency?



Phone - Home:

Phone - Work:

Phone - Cell:

Disclaimer: It is the policy of this organization to screen all prospective volunteers. While we try to place every prospective volunteer, management reserves the right to reject applicants who do not meet our requirements and/or placement criteria.