Volunteer Application

Volunteer Application
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth (DD/MM)
Employer Name and Address
Length of Service
Employer Phone
Please enter a valid phone number.
Occupation
What Non-Direct Volunteer Opportunities interest you? Non-Direct Client and Helper Services are essential to SARC's existence. (All of the below opportunities require a minimum of one year commitment.)

Office HelpFairs/Expos/EventsGarden MaintenanceHoliday ProjectOther (explain below)
Explain Other
What Direct Client Services Volunteer Opportunities interest you?

24-Hour HelplineHospital CompanionTranslatorSARC Intern
Are you over the age of 18?

YesNo
The answers to the following four questions are kept completely confidential.
Have you utilized SARC services in the past?

YesNo
If yes, how long has it been since you utilized SARC services?
Have you ever been convicted of a crime other than a traffic violation?

YesNo
If so, what was it?
Please list two emergency contacts should a situation arise when you are volunteering:
Name 1
Relationship
Phone Number
Please enter a valid phone number.
Name 2
Relationship
Phone Number
Please enter a valid phone number.
Volunteer Experience (please list any volunteer experience you think is applicable.)
Organization 1
Supervisor
Phone Number
Please enter a valid phone number.
Address of Organization

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date
Organization 2
Supervisor
Phone Number
Please enter a valid phone number.
Address of Organization

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date
Education
Current School/ Highest Degree Earned
School Name
Major
How did you hear about SARC?
What attracted you to SARC?
Describe any additional education courses, volunteer work, life experiences, or work positions that would be beneficial to volunteering at SARC.
What skills or special knowledge do you have that you could utilize at SARC?
What do you hope to gain from being a SARC volunteer?
How do you respond in a crisis situation?
When are you available to volunteer? (List days of the week and times.)
I hereby certify the information supplied on this application is true to my knowledge.

Clear
Date

MonthDayYear
Date
If you have any questions about this application, feel free to call 410-836-8431.
Please verify that you are human*
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