Appendix C
Volunteer Application Form
Name:
Address:
Telephone: (Home)
(Work)
Date of Birth:
Education:
Work Experience:
Volunteer Experience:
Special Skills:
Preference for Volunteer Work:
Times Available:
Do you wish to team up with another volunteer? Yes / No
Name of volunteer you wish to team with:
Correctional Center:
Please provide three references.
| Name |
Telephone Number |
| 1. |
|
| 2. |
|
| 3. |
|
Placement:
Job Title:
Duties:
Hours/Days:
Start Date:
Comments:
Checklist:
| ___ Interview |
___ References Checked |
| ___ Application |
___ Orientation |
| ___ Resume |
___ Received Volunteer Manual |
| ___ Confidentiality Agreement |
|
Notes:
|