Volunteer Application

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But if you don't have an account, no need to create an account, just fill out the form and we will contact you shortly.

Volunteer Contact Information

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Street Address *

City *

State *

Zip Code *

Preferred Phone *

Email *

Preferred Contact Method

Call

Text

Employment/School Name

Occupation

Present/Previous Volunteer Organization Affiliations and Contact Names

Emergency Contact Name *

Emergency Contact Phone *

Answering yes to any of the questions below does not necessarily prelude you from participation as a volunteer. The offense and how recently you were convicted will be evaluated in relation to the volunteer position for which you are applying

We do not accept applicants who have been guilty of any type of assault; crimes against children; arson; possession or use of any drug; or sex related crimes.

Do you use illegal drugs? *

Yes

Have you been convincted of a crime other than a minor traffic offense? *

Yes

Has your driver's license been suspended or revoked in any state? *

Yes

Explanation Offenses

Please provide a written explanation about the offense

Complete this section if under 18 years of age

Parent/Guardian First Name

Parent/Guardian Last Name

Street Address

City

State

Zip Code

Preferred Phone

Work Phone

EVERYONE MUST COMPLETE

Please list two NON-FAMILY references *

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