Volunteer Application

First Name:

Last Name:

Home Phone #:

Cell Phone #:

Email Address:

How did you hear about Hand In Hand?:

Preferred Communication: Preferred Communication: Phone Email Mail

Do you have a Facebook? Do you have a Facebook? Yes No

Interested in volunteering for: (Please check all that apply) Interested in volunteering for: (Please check all that apply) Safe Place Elementary & Middle School Outreach Admin/Office Support Clothing Store Emergency Food Box Program Special Events School Internship

What is your availability?: (Please check all that apply). What is your availability?: (Please check all that apply). Weekday Mornings Weekday Afternoons Weekday Evenings Weekday Overnights Weekend Mornings Weekend Afternoons Weekend Evenings Weekend Overnights

Frequency of Availability: Frequency of Availability: Weekly Once per monthy Twice per month As Needed

List all education ie: Diploma, degree, certificates(s):

What experience, if any, do you have working with children and how long?:

Languages (spoken):

List any training skills, licenses, and/or certificates you have that may apply:

Have you ever been convicted of or plead guilty to any crimes?: Have you ever been convicted of or plead guilty to any crimes?: Yes No

If yes, please explain | Degree | State | Conviction Date:

REFERENCE 1: Not relatives, whom you have known at least 1 year. List: Name, Email, Phone,Years Known, Relationship

REFERENCE 2: Not relatives, whom you have known at least 1 year: List: Name, Email, Phone,Years Known, Relationship

REFERENCE 3: Not relatives, whom you have known at least 1 year. List: Name, Email, Phone,Years Known, Relationship

Emergency Contact 1: Please have one not associated with Hand In Hand. List: Name, Relationship, Phone:

Emergency Contact 2: Please have one not associated with Hand In Hand. List: Name, Relationship, Phone:

APPLICANT'S STATEMENTS AND ACKNOWLEDGMENTS: I certify that the information provided is true and correct to the best of my knowledge. I authorize Hand In Hand to contact personal references. I understand that misrepresentaions, omissions of fact(s), or incomplete information may disqualify me from volunteering with Hand In Hand. I also understand that misrepresentations or omission of facts in this application will be cause for my dismissal at any time and without notice. I agree to conform to the rules and regulations of Hand In Hand, including an introductory probation period. I understand that volunterring with Hand In Hand is for no guaranteed period of time and may be terminated by myself or Hand In Hand, with or without notice. I achnowledge that any promise, policies, business practices, procedures, or documents do not constitute a contract. ***By clicking I ACCEPT and AGREE, it represents my legal signature.*** APPLICANT'S STATEMENTS AND ACKNOWLEDGMENTS: I certify that the information provided is true and correct to the best of my knowledge. I authorize Hand In Hand to contact personal references. I understand that misrepresentaions, omissions of fact(s), or incomplete information may disqualify me from volunteering with Hand In Hand. I also understand that misrepresentations or omission of facts in this application will be cause for my dismissal at any time and without notice. I agree to conform to the rules and regulations of Hand In Hand, including an introductory probation period. I understand that volunterring with Hand In Hand is for no guaranteed period of time and may be terminated by myself or Hand In Hand, with or without notice. I achnowledge that any promise, policies, business practices, procedures, or documents do not constitute a contract. ***By clicking I ACCEPT and AGREE, it represents my legal signature.*** I accept and agree