Volunteer Application

Volunteer Form
  • First Name*
  • Last Name*
  • Birthdate*MM/DD/YYYYMust be over the age of 18 to volunteer independently.
  • Home Phone*XXX-XXX-XXXX
  • Mobile Phone*XXX-XXX-XXXX
  • Email*
  • Street Address*
  • City*
  • State*
  • Zip*
  • Community Service
  • Is this for Community Service?*
  • Have you been convicted of a felony?*Within the last 10 years?
  • Are you currently on probation?*
  • Please Explain*If you answered "yes" to any of the 3 questions above, please explain
  • Volunteer Info
  • Have you been a client of the shelter?*
  • If you have been a client, when?*MM/YY to MM/YY
  • Are you currently employed?*
  • If yes, where are you employed?*
  • Are you currently a student?*
  • If yes, where?*
  • Please list any past volunteer roles you have had*and for what organization you volunteered
  • How did you hear about volunteer opportunities with Homeless Connections?*
  • Why are you interested in volunteering with Homeless Connections?*Please describe
  • Availability*Please select one or more
  • Preferred number of hours each month*
  • Interests*Specify the area where you are most interested in helping
  • How did you...*Learn about volunteer opportunities with the shelter?
  • Please describe...*What motivates you to volunteer.
  • Personal/Professional Reference (Non-Relative)
  • Reference Full Name*First, Middle Initial, Last
  • Phone*XXX-XXX-XXXX
  • Street Address*
  • City*
  • State*
  • Zip*
  • How are you acquainted?*Remember, reference must NOT be a relative
  • Your Skills
  • Please check all that apply to your skill set*
  • Terms of Agreement
  • Submission of this application will be treated as a signature to the following statement: I certify that the answers provided are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application. I further understand that Homeless Connections, Inc. will conduct a background check on me and I offer my consent to conduct this background check. I understand that Homeless Connections, Inc. is not obligated to accept me into their volunteer program and if accepted they or I may terminate the volunteer agreement at any time. If accepted, I understand that false or misleading information given in my application(s)or interview(s) may result in discharge at any time. I agree to treat all information I may hear, see, read, or otherwise acquire as highly confidential, and I will not reveal or discuss this information outside of my official duties at Homeless Connections, Inc.
  • Agreement of Terms*
  • Captchatype the characters
  • Email*can't leave this empty
  • Email*can't leave this empty
  • Name*full name here
  • Email*can't leave this empty