Apply to Volunteer Click here to download our application form or fill out the form below to apply now! Volunteer Application 1 Applicant Information2 Applicant History3 Volunteer Availability/Opportunities4 Community Service5 Applicant Skills/Interests/Expertise6 References7 Emergency Notification & Hospital Preference8 Disclaimer & Signature Name* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of years at the above addressPhone*Email* Physical/Medical Limitations EmployerLength of EmploymentIf not employed, list your last employerHave you ever worked for Let’s Help?YesNoIf so, when and where?Have you ever volunteered with Let’s Help before?YesNoIf so, when and where?Have you ever been convicted of a felony or misdemeanor, excluding minor traffic infractions?YesNoIf yes, explainDo you have any pending felony or misdemeanor charges, excluding minor traffic infractions?YesNoIf yes, explain What type of volunteer experience are you seeking?On-GoingOne-TimeHow many hours per week would you like to volunteer?Please list days and times you are available:In which service area(s) would you like to volunteer? Please check all categories that apply Administrative Tasks Adult Education Clothing Bank Food Pantry Janitorial/Facilities Kitchen/Lunchroom Other (Please note that there is no guarantee you will be placed in your preferred area(s). Placement is based on the volunteer assistance needs of each area.) Please explain Are you applying to volunteer in order to fulfill a Community Service requirement for School, a Civic Organization, or Church?YesNoName of Organization & ActivityNumber of hours neededAre you applying to volunteer in order to fulfill a Community Service Agreement that is Court Ordered, or to fulfill a Parole Requirement?YesNoCourt/District/County Supervising the CSAParole/ISP Officer or Court Contact Name First Last Parole/ISP Officer or Court Contact – Phone NumberNumber of Hours NeededRequired Completion Date for HoursMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Please list a few of your hobbies/personal interestsDo you have any special expertise or skills that you would like to share with Let’s Help? (Check any that apply)* Art/Music Carpentry/Contracting Computer/Data Entry Driving (CDL)/Forklift Electrical/HVAC General Office Work/Clerical/ Research Graphic Design Landscaping/Maintenance Marketing/Public Relations One-on-One Direct Client Service Organizing/Scheduling Photography Pipefitting/Plumbing Public Speaking Teaching/Training/Tutoring Writing/Testimonials/ Documentaries Other Anything not mentioned aboveDo you have any professional certifications/licenses necessary for any specialized volunteer activities?Are you fluent in any language other than English (including Sign Language)?YesNoPlease list language(s) Untitled Name Relationship Phone Edit Delete There are no Emergency Contacts. Add Emergency Contact Maximum number of emergency contacts reached. References Name Years Known Relationship to you Phone Edit Delete There are no References. Add Reference Maximum number of references reached. Hospital Preference (if any) *Let’s Help may conduct a background investigation regarding employment, education, motor vehicle or criminal background. By signing this application, you authorize Let’s Help to make these investigations, and you indicate your awareness that false statements or failure to disclose information may be sufficient to disqualify you from volunteering. (Note: The fact that you have a criminal record will not necessarily bar you from volunteering.) I certify that my answers are true and complete to the best of my knowledge. CommentsThis field is for validation purposes and should be left unchanged.
