Volunteer Application

Step 1 of 3

PERSONAL INFORMATION

Your Name(Required)

First Last

Group Name/Church (if applicable)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email(Required)

Birthday(Required)

WHY ARE YOU INTERESTED IN VOLUNTEERING FOR THE CRISIS CENTER?(Required)

EDUCATION

Education Completed(Required)

High School

College

Other

Are you currently in school?(Required)

Yes

If yes, where?

EMERGENCY INFORMATION

Please list two emergency contacts:

Emergency Contact 1(Required)

First Last

Relationship(Required)

Home Phone

Work Phone

Cell Phone(Required)

Emergency Contact 2(Required)

First Last

Relationship(Required)

Home Phone

Work Phone

Cell Phone(Required)

AVAILABILITY

Hours You Are Available for Work(Required)

Please tell us what hours you are available for work each day of the week. *Neat Repeats stores require five-hour shifts

Monday

Tuesday

Wednesday

Thursday

Friday

EMPLOYMENT

Are you currently employed?(Required)

Yes

If yes, where?

Type of business:

Previous Employment:

MEDICAL HISTORY

Do you have any physical limitations?(Required)

Yes

If yes, please list:

REFERENCES

Please list two references:

Reference 1(Required)

First Last

Reference 1 Phone(Required)

Reference 1 Email(Required)

Reference 2(Required)

First Last

Reference 2 Phone(Required)

Reference 2 Email(Required)

AREAS OF INTEREST

What skills do you have that you feel might be of value to the Crisis Center?(Required)

What are your hobbies, interests or recreational activities?(Required)

Have you completed the 40 hour Domestic Violence Training?(Required)

Yes

If yes, please attach a copy of your certificate

Upload your certificate in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

By clicking “Submit Application,” I acknowledge and agree that:

The information I have provided is accurate and complete to the best of my knowledge. I understand that submission of this application does not guarantee placement as a volunteer, and that all volunteer opportunities are subject to approval by the Crisis Center.

Join Our Community of Giving

PERSONAL INFORMATION

EDUCATION

EMERGENCY INFORMATION

AVAILABILITY

EMPLOYMENT

MEDICAL HISTORY

REFERENCES

AREAS OF INTEREST

By clicking “Submit Application,” I acknowledge and agree that:

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