Caring Circle Volunteer Form 2017

Volunteer Application

Please complete the following form in its entirety.

Where would you like to volunteer? *

PERSONAL INFORMATION

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

VOLUNTEER

How did you hear about this volunteering opportunity? *

Reason you are applying for volunteer work *

AVAILABILTY

How often are you able to volunteer *

Weekly

Twice a Month

Monthly

Other Other

Select the times you would be available to volunteer by clicking the corresponding box(es) *

Please check your area(s) of interest *

VOLUNTEER EXPEREINCE

Please list any current and prior volunteer experiences, such as clubs, church, school projects, etc. *

Please list any hobbies or special interests *

GENERAL INFORMATION

Are you 18 years or older? *

Yes

No

What is your age?

Have you ever volunteered or been employed at Caring Circle *

Yes

No

What was your volunteer position or job at Caring Circle?

Have you ever been convicted of a crime? *

Yes

No

Date *

Where *

Charge *

Disposition *

Please Explain *

ACKNOWLEDGEMENT:
I hereby certify that all information included in this application form is true and complete. I understand that incomplete applications will not be considered, and that providing false information is grounds for immediate disqualification from the application process, or even immediate dismissal if the falsehood is discovered after placement.

If placed, I will volunteer on a regular basis, be dependable, and honor all Caring Circle of Spectrum Health Lakeland volunteer policies and guidelines. I hereby authorize present and former employers, associates, schools, credit organizations, law enforcement agencies, military organizations, and/or other persons to provide Caring Circle any information which may aid in determining my suitability for volunteering.

It is clearly understood that there is no employer/employee relationship and that as a support volunteer, I am not entitled to compensation or fringe benefits of any kind for voluntary services.

By submitting this application on-line, I agree to the above written statement.

An in-person interview will be scheduled when your completed application is received.

Do you acknowledge this information? *

I agree

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