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Volunteer Application

  1. (MM/DD/YY)

  2. In case of emergency, please notify:

  3. Where are you interested in volunteering?*

    Check all that apply.

  4. Special Skills & Interest:

    Check all that apply.

  5. Yes or No (If yes, list the date, charge and disposition of the conviction.)

  6. A criminal record does not constitute an automatic bar to volunteer placement, but will be considered in terms of the volunteer work to be performed. Failure to provide a complete criminal history will be an automatic denial as a volunteer, even if you were approved in previous applications.

  7. Your application is not complete until you sign and return a Volunteer Release and a Background Check Release. Volunteers under the age of 18 must also have a parent or guardian sign a Parent's Additional Indemnification.

  8. Leave This Blank:

  9. This field is not part of the form submission.