Volunteer Application - Guadalupe Economic Services Corporation

Guadalupe Economic Services Corporation    

 

Volunteer  Application    

Name  (Last,  First):      

 

 

 

 

 

   

                       Sex:    

   DOB:  

_______________________________________                                  M  /  F                                      ______/______/______     Address:    

 

 

 

                                                                       Zip:    

 

 

___________________________________________________________________________________       Phone:  

 

 

 

 

 

                                           Email:  

Home  /  Cell    (______)-­‐‑_________________          

                     _____________________________________

  Employer:  

 

 

 

 

 

 

Employer’s  Phone:  

  References:   Name_________________________        Relationship  ________________________________   Phone_________________________        Address  ___________________________________     Name_________________________          Relationship  ________________________________   Phone_________________________          Address  ____________________________________        

Educational  Background:   School  

 

 

 

 

 

 

 

 

Years  Attended  

______________________________________________    

____________________________  

Major  

Graduation  Date  

 

 

 

 

 

 

 

 

______________________________________________    

____________________________  

Experience:   Have  you  worked  as  a  volunteer  before?  If  so,  where?   _________________________________________________________________________________   Title/Duties   _________________________________________________________________________________   _________________________________________________________________________________   Have  you  ever  been  convicted  of  a  felony  or  misdemeanor?  Yes  /  No   If  Yes,  please  provide  a  brief  description   _________________________________________________________________________________   _________________________________________________________________________________   Do  you  have  proper  means  of  transportation?  Yes  /  No   Can  you  speak,  read,  or  write  in  another  language  besides  English?  Yes  /  No   If  Yes,  please  indicate   _________________________________________________________________________________     I  ______________________  authorize  the  staff  at  Guadalupe  Economic  Services  Corporation   permission  to  process  my  application  information.  By  signing  this  document,  I  agree  to   volunteer  my  time  to  assist  victims  of  abuse,  homelessness,  and  poverty  without  bias.     Applicant  Signature    

 

 

 

 

 

 

 

 

GESC  Staff  Signature  

___________________________________      

_______________________________________  

Date:  ___/____/____        

 

 

 

 

 Date:  ____/____/____