Volunteer Application

 

* Required Fields

Contact Information

*Name

*Street 1

Street 2

*City

*State

*Zip

*Home Phone

   Work Phone 

Cell Phone

   Fax Number 

* Email

Health Limitations

 

Emergency Contact

*Name

*Relationship

*Street 1

Street 2

*City

*State

*Zip

*Home Phone

   Work or Cell Phone

Email

 

Interests

Tell us in which areas you are interested in volunteering

Peer Support

PR/Outreach

Office Support

Library

Fund Raising

Special Events

Social Media

Other

 
 

 

Special Skills, Qualifications & Educational Backgrounds

Summarize special skills and qualifications, including your educational background.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Availability

During which hours are you available for volunteer assignments?

Are you currently employed?

Full-Time    Part-Time

Work Experience.

 

References

Please list 3 references: 2 employment, academic, volunteer, church or community involvement references & 1 personal, non-family member reference.

(References are contacted first by phone, then if no response, a second attempt is made via email.)

Reference 1

*Name

*Phone

Email

Reference 2

*Name

*Phone

Email

Reference 3

*Name

*Phone

Email

Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual orientation, age, or disability.

Acceptance into and completion of volunteer training for the Good Grief Center for Bereavement Support (GGC) does not imply or guarantee acceptance into the GGC Volunteer Program.

*I have read and agree with the above Agreement and Policy statements.

Thank you for completing this application form and for your interest in volunteering with us.

Please be sure to call 412-224-4700 to confirm the receipt of your application.

 

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