Volunteer Application From "*" indicates required fields Step 1 of 3 33% Volunteer ApplicationPRINCIPAL PURPOSE(S) for which information is intended to be used: 1: Person(s) to be notified in case of emergency. 2: To gather appropriate contact information for, availability, and job duties for potential volunteers. DISCLOSURE of the information is voluntary and will not be used for any solicitations of any kind. This information is strictly for our files. We will not be calling you for donations or anything other than what you are volunteering for. Today's Date* Month Day Year Tell us about yourselfName* First Name Last Name Your Email Address* Enter Email Confirm Email Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*Preferred Contact Method Phone Call Email Are you volunteering as an individual or a group?*Individual VolunteerGroup of VolunteersName of group or organization (if applicable) Is there anything else you'd like to share about yourself? Volunteer Availability & PreferencesWhich program(s) are you interested in volunteering with?*If you’re not sure, take a moment to review our programs page on the website to see which may be of interest to you. Georgetown EATS Georgetown LIVES Georgetown LEARNS Georgetown PRAYS Other What days and hours of the week would you like to volunteer?We have volunteer opportunities available Monday through Saturday.MondayTuesdayWednesdayThursdayFridaySaturday Add RemoveNeed more details before committing to hours?No problem. Give us an idea of your desired involvement and we will discuss options during our touch base call. Can you fill in on other days if needed? (if so, when?) Emergency Contact InformationPrimary person to be notified in case of emergency. Name*Full Name of Emergency Contact Relation*Relation to Volunteer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell Phone*Work PhoneEmail* Permissions for Background Check, Photographs and VideographyMedia Consent*I give my permission to Friendship Place to capture and use any photographs and videography taken of me in informational and community education resources to include but not limited to advertisements and social media sites. I consent. I do NOT consent Volunteer Commitment and Background Check Consent*I certify that all above information is correct to the best of my knowledge. I understand that serving as a volunteer is a commitment and that my name will be submitted for backtround checks. In addition, I agree to attend all training workshops required by Friendship Place. Yes No Background Check Form*I understand that I must complete a criminal record check form and return it to Friendship Place before I am able to volunteer. (A digital copy of the form is available on our Volunteer Page of the website. You can print the from and return it to us.) Yes No Volunteer Health Policy Agreement*I understand that I must complete the Employee/Volunteer Health Policy Agreement before I am able to volunteer with Friendship Place. (A digital copy of the form is available on our Volunteer Page of the website. You can print the from and return it to us.) Yes No Electronic Signature*Typing your full name here serves as an electronic signature for the Friendship Place volunteer application. CAPTCHA Δ
