Online Volunteer Form

Please fill out this form entirely. Everything listed here is required!

1. Personal Information

Date:

2. Education

3. Employment History

4. Volunteer Related Information

How much time can you contribute to volunteering?
2-4 hours/Month4-6 hours/Month6-10 hours/month10+ hours/month

When are you available?
WeekdaysWeekends

What type of volunteer position(s) are you interested in (please check all that apply)
Money ManagementGuardian AngelAdministrative

5. Previous Volunteer Experience

6. Special Skills/Qualifications

7. Criminal History Information

Do you use illegal drugs?
YesNo

Has your driver’s license ever been suspended or revoked in any state?
YesNo

Have you ever been arrested, charged or convicted of a crime other than a traffic violation?
YesNo

Have you ever been a plaintiff or defendant in a civil lawsuit other than a divorce?
YesNo

8. References

I hereby affirm that my answers to the foregoing questions are true and correct and that I have not
knowingly withheld any fact or circumstance that would, if disclosed, affect my application
unfavorably. I understand that any false information submitted in this application may result in
my discharge.

Please Sign Below:

Please Sign the Date Below: