Volunteer Application

Name: *

Preferred Name

Gender

Male

Female

Birthday (mm/dd/yy) *

Mailing address: *

City/State/Zip: * *

Employer (current or most recent):

Primary Phone Number: *

Email Address *

How did you hear about us? *

Are you a student? *

Yes

If yes, where?

I am interested in the following House Volunteer Opportunities: * *

Family House Volunteer: House Volunteers help with the day to day operations of the Family House to keep it looking fresh and clean, well-stocked, and homelike.

Welcome Desk/General Office: A Welcome Desk volunteer puts a personal touch to a family's stay while helping staff attend to guest needs, phone calls, and other clerical projects.

Gardening: Help with the upkeep of the Family House landscaping. Tasks include weeding, watering, and occasional planting.

Cooking/Baking: Provide breakfast, bake desserts, or make casseroles for the freezer at least one time per month.

Special Events: As needed to plan and organize special events, or for occasional help for special activities and events.

Maintenance/Grounds: Assist the Facilities Manager in keeping the SECU Family House in good physical condition and appearance by performing basic maintenance tasks including HVAC cleaning, light plumbing, lawn care, painting, preventative maintenance and general repair.

Please check all that apply. *Minimum age for a House Volunteer is 15 or 18 based on task.

Please indicate how often you would like to volunteer: *

What are your personal expectations of this volunteer experience? * *

Please list any previous volunteer experiences: * *

Do you need volunteer hours to satisfy any "community service" requirements? *

Yes

Have you ever been asked to relinquish a volunteer position (if yes, please explain)?

If yes, please explain:

I have these special skills and interests. Please check all that apply.

Microsoft Office: Occasional help with survey entry with Word or Excel

Data Entry: Help maintaining our database

Graphic Arts: Occasional help with signs, brochures, etc.

Solicitation/Fundraising: Help with procuring supplies, financial help, repairs, etc.

Cooking/Catering: Provide food for events

Translator-Language: Occasional assistance for non-English speaking guests

Other

If checked "other," please explain:

Applicant Signature, Date•I understand that this is an application for and not a commitment or promise of volunteer opportunity. •I understand that, if selected, I will have to attend an orientation and training session. •I certify that all information I provide during the selection process will be true, correct, and complete to the best of my knowledge. •I understand that information contained on my application may be verified by Family House. •I understand that misrepresentation or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Family House or my termination as a volunteer. •I understand and support the mission of Family House and agree that any information I receive, directly or indirectly, regarding any guest, will be kept in strict confidence. •I hereby authorize a background check to obtain information pertaining to any charges or convictions through local, state, and/or federal sources. *

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