Walk Hard Volunteer Application
Application
Date ________________
Volunteer
Position Sought _______________________________________________________
Name
________________________________________________________________________
DOB
____________Home Address _________________________________________________
Work Phone
_________________Phone # ______________ Email: _______________________
EDUCATION
Highest
Level of Education ________________________________________________________
EMPLOYMENT
Current
Employer, if applicable:
Position/Title
__________________________________________________________________
Dates of
Employment (starting, ending) _____________________________________________
Company/Employer
_____________________________________________________________
Address
_______________________________________________________________________
Would you
like us to keep your employer abreast of your volunteer service and
achievement? No Yes
SKILLS
& EXPERIENCE
Special
training, skills, hobbies _____________________________________________________
Groups,
clubs, organizational memberships __________________________________________
Please
describe your prior volunteer experience (include organization names and dates
of service) _______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
What
experiences have you had that may prepare you to work as a volunteer [e.g.,
domestic violence, child abuse prevention, youth recreation, youth group leader,
community leader, etc.]?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Why do you
want to volunteer? [Or, What do you want to gain from this volunteer
experience?]
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you
ever been convicted of a crime? [If yes, please explain the nature of the crime
and the date of the conviction and disposition.] Conviction of a crime is not
an automatic disqualification for volunteer work.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Do you
have a driver’s license? No Yes DL#:________________
Do you
have car insurance? No
Yes
Do you
have a car available for transporting others? No Yes
AVAILABILITY
What days
are you available? Mon Tues Wed Thurs Fri Sat Sun
What times
work best for you? AM__________
PM___________
SELF
RATING: (1-10, WHERE 1 is the not well
at all and 10 is excellent)
How would
you rate yourself in your ability to
…Build and team lead? _______
…Stay positive under pressure?
_______
…Proactively reach out and help
others? _______
…Come up with creative solutions?
________
…Get things done fast? ________
REFERENCES
Please
list three people who know you well (non-related) and can attest to your
character, skills, and dependability. Include your current or last employer.
Name/Organization |
Relationship
to you |
Length
of relationship |
Contact
number |
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EMERGENCY
CONTACT
Name_________________________________
Relationship to you________________________
Phone
#____________________________Address_____________________________________
Please
read the following carefully before signing this application:
I
understand that this is an application for and not a commitment or promise of
volunteer opportunity. I certify that I have and will provide information
throughout the selection process, including on this application for a volunteer
position and in interviews with Walk Hard Foundation that is true, correct and
complete to the best of my knowledge. 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 information that would unfavorably affect my application for a volunteer
position. I understand that information contained on my application will be
verified by Walk Hard Foundation. I understand that misrepresentations or
omissions may be cause for my immediate rejection as an applicant for a
volunteer position with Walk Hard Foundation or my termination as a volunteer.
If selected as a volunteer, I agree to adhere to the policies and
procedures of Walk Hard Foundation. I understand that I will be volunteering at
my own risk and that the organization, its employees and affiliates, cannot
assume any responsibility for any liability for any accident, injury or health
problem which may arise from any volunteer work I perform for the organization.
I agree that all the work I do is on a
volunteer basis and I am not eligible to receive any monetary payment or
reward.
Signature
__________________________________________ Date
_____________