Volunteer Application and Interest Intake Form

Collects contact information, skills, availability, role interest, and references from prospective volunteers to support coordinator screening and placement decisions.

Personal Information

• First Name
• Last Name
• Preferred Name or Nickname (optional)
• Email Address
  We will use this address for all volunteer communications.
• Phone Number
• Preferred Contact Method
• City and State / Province
  We collect city and state only — a full street address is not required at this stage.
• I confirm that I am 18 years of age or older, OR that a parent/guardian will complete a separate minor volunteer consent form on my behalf.
  Volunteers under 18 require a signed parental consent form before placement.

Volunteer Role Interest

• Areas of Interest (select all that apply)
  Choose one or more program areas where you would like to contribute.
• If you selected 'Other', please describe your area of interest
• How would you like to volunteer?
• Why do you want to volunteer with our organization?
  A brief response (2–4 sentences) is appreciated.

Skills and Experience

• Relevant Skills (select all that apply)
• Languages Spoken (other than English)
  Language skills can be especially valuable in direct-service roles.
• Do you have prior volunteer experience?
• Briefly describe your prior volunteer experience
• Relevant Certifications or Licenses (optional)

Availability

• Days Available (select all that apply)
• Times Available (select all that apply)
• Estimated Hours Available Per Week
• Commitment Duration
• Earliest Available Start Date
  Select the earliest date you could begin volunteering.
• Any scheduling constraints or notes? (optional)

References

• Reference 1 — Full Name
• Reference 1 — Relationship to You
• Reference 1 — Email Address
• Reference 1 — Phone Number (optional)
• Reference 2 — Full Name
• Reference 2 — Relationship to You
• Reference 2 — Email Address
• Reference 2 — Phone Number (optional)

Consent and Certification

• I understand that a background check may be required for certain volunteer roles involving vulnerable populations (e.g., children, seniors, individuals with disabilities), and I consent to such screening if applicable to my placement.
  Background checks are conducted in compliance with applicable federal and state law, including the Fair Credit Reporting Act (FCRA) where applicable.
• I consent to being photographed or recorded during volunteer activities for use in organizational communications, social media, and fundraising materials.
• I acknowledge that the personal information I have provided will be stored securely and used solely for volunteer coordination and communication purposes, consistent with the organization's privacy policy.
• I certify that all information provided in this application is accurate and complete to the best of my knowledge. I understand that providing false information may result in disqualification or removal from the volunteer program.
• Anything else you would like us to know? (optional)
  If you require a reasonable accommodation to participate in our volunteer program, please describe your needs here.