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DonateVolunteer

 

Volunteer Application

Name
 
Home Address
 
City, State & Zip
 
Home Phone
 
Email Address
 
Last 4 of SSN This information is optional.
 
Type of Position Desired - check all that apply
 
Maintenance/
Housekeeping 		Administration/
Customer Service		 Instruction/
Coaching
 
Personal Assistance/
Companionship		 Special Events/
Outreach		    
 
Professional Service Advice (i.e. Legal, accounting, social work, real estate, IT)
 
Other (Please List)
 
Date Available to Start
 
Referred by

Please describe the kind of work in which you are interested:
Please list your interests and hobbies:
Please indicate the hours and days you are interested in volunteering:
Have you applied for a position (paid or unpaid) with us before?
If yes, when?
 
Do you have access to transportation to travel to and from Fairhill Partners?
  Yes   No  
 
If no, please explain plans for transportation:
 
Have you been convicted of a felony in the past seven (7) years? Yes     No
 
If yes, please explain:

Employment and Volunteer History - last four positions held
Name of of Employer or Volunteer Coordinator - #One:
Address of Employer or Volunteer Coordinator:
Phone Number of Employer or Volunteer Coordinator:
Postion / Duties:
Reason for Leaving:
From (month & year):
To (month & year):
Name of of Employer or Volunteer Coordinator - #Two:
Address of Employer or Volunteer Coordinator:
Phone Number of Employer or Volunteer Coordinator:
Postion / Duties:
Reason for Leaving:
From (month & year):
To (month & year):
Name of of Employer or Volunteer Coordinator - #Three:
Address of Employer or Volunteer Coordinator:
Phone Number of Employer or Volunteer Coordinator:
Postion / Duties:
Reason for Leaving:
From (month & year):
To (month & year):
Name of of Employer or Volunteer Coordinator - #Four:
Address of Employer or Volunteer Coordinator:
Phone Number of Employer or Volunteer Coordinator:
Postion / Duties:
Reason for Leaving:
From (month & year):
To (month & year):
May we contact your current employer or volunteer coordinator? Yes No

Education
 
  School Name City Year Graduated Program
High School
College
Other
         
References
 
List the names and phone numbers of three (3) persons not related to you, whom you have known for at least 1 year.
 
 
 
Name, Address and Phone of person to notify in case of emergency:

I authorize investigation of all statements in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further I understand and agree that my affiliation with Fairhill Partners is for no definite period of time and may be terminated at any time without prior notice. Ii understand that all new volunteers at Fairhill Partners are subject to a criminal background check investigation.

By entering my name in the box below I am electronically signing this application and agreeing to the above.
Name:   Date: