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Home
Ways To Help
Volunteers
Clients
Events
Soiree at Sawgrass
About
Our Story
Board & Staff
Financials & Reports
Employment
Donate
Volunteer Application
VOLUNTEER INFORMATION
Name
*
First Name
Last Name
Email
*
Primary Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birthdate
*
MM
DD
YYYY
Emergency Contact
*
Relationship
Emergency Contact Phone Number
*
(###)
###
####
EDUCATION / SKILLS / CAREER
Highest Grade Completed
*
Languages Spoken
Special Training
*
Personal Strengths
I am
Employed
Unemployed
Retired
Student
My employer offers a matching donation program.
Yes
No
VOLUNTEER EXPERIENCE
Have you volunteered with us before?
*
Yes
No
Have you ever been asked to resign as a volunteer?
*
Yes
No
Please tell us about other volunteer experience, whether current or past.
How did you become aware of our volunteer program?
*
Why would you like to volunteer for Hart Felt Ministries?
Type of volunteer work desired?
When are you available for volunteer service?
In what geographic area do you prefer to serve?
Church Affiliation
HEALTH INFORMATION
Do you have health issues that would impact your service?
*
Do you have any communicable disease?
Yes
No
Do you smoke?
Yes
No
References (2 Non-Family Members)
Reference #1 Name
*
Reference #1 Phone
(###)
###
####
Reference #2 Name
*
Reference #2 Phone
*
(###)
###
####
Have you ever been convicted of a felony?
*
Yes
No
If you answered yes in the box above, please explain.
Have you had a misdemeanor in the last 10 years?
*
Yes
No
If you answered yes in the box above, please explain.
I understand that the screening process of Hart Felt Ministries, Inc., includes an application form, an interview and reference checks, along with any necessary additional checks such as driver’s license, insurance confirmation, and criminal history verification, and I give my permission for them to do so. Being charged or convicted of a felony disqualifies an applicant from volunteering. Being charged or convicted of a misdemeanor does not necessarily disqualify an applicant from volunteering, as long as it does not involve fraud, dishonesty or false statement. Failure to indicate a charge or conviction, regardless of its severity or of the amount of time that has passed, will be considered a falsification of the volunteer application. This will disqualify you from further consideration, and, if you have already begun your volunteer assignment, will be grounds for dismissal. I certify that the statements made in this volunteer application are true and correct and have been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release the agency from any liability whatsoever for supplying such information. I agree to give adequate notice (unless an emergency arises) if I am unable to perform my assignment. Click to signify that you agree to the above statements.
*
I agree
Thank you!
