Volunteer Application Volunteer Sign Up Today's DateSocial Security NumberFirst NameLast NamePermanent Address CityEmailPhoneEmergency PhoneHow many hours a week can you dedicate?Are you 18 years or older? Yes NoWhen are you available to start?Are you either a U.S. citizen or an alien authorized to work in the United States? Yes NoEducationPlease complete the list below with the required information for your Elementary, High School, College/University or OtherName of SchoolName of SchoolName of SchoolName of SchoolCity, StateCity, StateCity, StateCity, State# of Years# of Years# of Years# of YearsGraduated (yes/no)Graduated (yes/no)Graduated (yes/no)Graduated (yes/no)Subject(s) StudiedSubject(s) StudiedSubject(s) StudiedSubject(s) StudiedWhy do you want to volunteer at the club?Special Skills:Activities (civic, athletic, etc.)ReferencesGive the names of three persons not related to you, whom you have known for at least one year. Name of ReferenceName of SchoolName of SchoolCity, StateName of SchoolName of SchoolRelationship with personName of SchoolName of SchoolYears AquaintedName of SchoolName of SchoolEmergency ContactFirstLastPhone/MobileEmergency Contact AddressStreet AddressCityStateZip CodeI certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if I give falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous volunteer and any pertinent information they may have and release all parties from all liability for any damage that may result from furnishing same to you.Signature Sign Here Submit Form
