Your Information
First Name
Last Name
Email Address
Phone Number
Experience
Do you need service hours for a community, school, or organization?
No Yes
Please describe any relevant experience (as a volunteer, employee, or student).
Please list/describe the days/times you are available to volunteer.
Please note any phyiscal or mental health concerns that you would like us to take into consideration (e.g. standing for a certain amount of time, lifting items over a certain weight, germ phobia, anxiety, etc...)
Emergency contact
Emergency contact name
Emergency contact's relationship to you
Emergency contact phone number
Please Read Carefully Before Signing
Volunteers must be at least 16 years of age unless prior approval from a primary staff person has been obtained as well as adult supervision.
The Neighbors' Place will do a routine background check on all volunteers for the safety of out clients, staff, and other volunteers. This is information is kept in the strictest confidence.
Confidentiality is a very important aspect of our services. Because of the nature of the business that is conducted at The Neighbors' Place, it is required that all information you hear or read in refence to any client, volcunteer, or donor at The Neighbors' Place be kept in strict confidence. If you violate this rule you may be asked to not volunteer any longer.
Sign and Submit
I understand that this is an application for and not a commitment to or promise of a volunteer opportunity. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any inforamation that would unfavorably affect my application for a volunteer position. I understand that misrepresentations or omissions may be the cause for my immediate rejection as an applicant for a volunteer position with The Neighbors' Place or my termination as a volunteer.
Electronic Signature
