Volunteer Application

Volunteer Application

Before you begin, please read the Volunteer Code of Conduct.

Full Name:
Street Address:
City:
State:
Zip:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Email Address:
Emergency Contact Name:
Emergency Contact Number:
Date of Birth:
Employment Status:
Employer Name:
Position:
May we contact you at work?
How did you hear about this volunteer opportunity?
Have you volunteered at BRIDGES before?
If yes, when and in what capacity?
Describe your previous volunteer experiences:
What did you find rewarding in your previous volunteer experiences?
What interests you about volunteering for BRIDGES?
Availability and Commitment
How many hours per month are you able to work? (Minimum 4)
Length of commitment:
Please indicate days and times you are able to volunteer:
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Interests and Skills:
I'm interested in volunteering in the following capacities:
If other, please specifiy:
Please describe any special skills you would like to share:
Personal References
Reference One:
Name:
Relationship:
Phone:
Email:
Reference Two:
Name:
Relationship:
Phone:
Email:
Reference Three:
Name:
Relationship:
Phone:
Email:
.
Authorization for a Criminal Records Check
The safety of our clients, volunteers, and staff is our primary concern. The information below
is needed to process a criminal records check as required by the volunteer position
you are seeking. This information is intended solely for the purpose of volunteer
eligibility screening.
Gender
Drivers License Number:
State Issued:
List all residential addresses for the past 5 years, starting with your present address:
Have you ever been convicted of a crime (other than minor traffic offenses?)
If yes, please explain:
Signature
By typing my name, I certify that the facts presented above are true and complete to the
best of my knowledge. I give my consent to a criminal background check to be completed as
part of this screening process. I also agree to the Volunteer Code of Conduct and understand
that completing this application does not ensure a volunteer placement.
Please answer the simple math question below to submit the form.
2 + 2 =