Volunteer Application

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Application Date ________________

Volunteer Position Sought __________________________________________

Name ___________________________________________________________

Home Address ____________________________________________________

Work Phone ___________________Home Phone ________________________

Education

Highest Level of Education __________________________

Employment

Current Employer, if applicable

Position/Title _________________________________________________

Dates of Employment (starting, ending) _________________________________

Company/Employer ________________________________________________

Address __________________________________________________________

Would you like us to keep your employer abreast of your volunteer service and achievement?           Yes  No

Special training, skills, hobbies _______________________________________

Groups, clubs, organizational memberships ______________________________

Please describe your prior volunteer experience (include organization names and dates of service) __________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

What experiences have you had that may prepare you to work as a volunteer in the field of [description of field, e.g. domestic violence, child abuse prevention, youth recreation, etc.]?      _____________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Why do you want to volunteer? [or What do you want to gain from this volunteer experience?]

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction and disposition.] Conviction of a crime is not an automatic disqualification for volunteer work.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Do you have: a driverís license?  Yes  No

Car insurance?  Yes  No

Car available for transporting others?  Yes  No

REFERENCES: Please list three people who know you well and can attest to your character, skills and dependability. Include your current or last employer.

Name/Organization       Relationship to You            Phone   Length of relationship

1.  

2.  

3.  

Please read the following carefully 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 with [Name of Nonprofit] 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 by [Name of Nonprofit]. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with [Name of Nonprofit] or my termination as a volunteer.

Signature __________________________________________ Date _________




Nonprofit Risk Management Center

15 N. King Street, Suite 203, Leesburg, VA 20176
Phone: (202) 785-3891 - Fax: (703) 443-1990

Send us e-mail

This document is from the Nonprofit Risk Management Centerís
Accident Preparation and Response Tutorial (www.nonprofitrisk.org), which was
made possible by financial support from the Public Entity Risk Institute.