FJC Volunteer Application

Step 1 of 2: Submit

Volunteers must be willing to participate in 20 hours of training. 40 hours are required for SART Advocates.

Name: (First, MI, Last) Street Address City, State, Zip: Primary Phone Email Address

Shirt Size M L XL XXL

What times are you available for volunteer assignments? 8:30 AM - 12:30 PM 12:30 PM- 4:30 PM

When are you available? Weekly Monthly

Summarize Special skills/qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies/sports:

Previous Work History

Company Name/Address/Phone: 2nd Company Name/Address/Phone:

Previous Volunteer Experience:

References

Reference Name 1 Reference Name 1 Telephone Number Reference Name 2 Reference Name 2 Telephone Number Reference Name 3 Reference Name 3 Telephone Number In case of Emergency, notify (Name & phone number)

Agreement

Upon submission, I affirm the facts in it are true & complete. I understand that if accepted as a volunteer, any false statements, omissions, or misrepresentation by me on this form may result in immediate dismissal. Random Polygraphs are possible.

Name (printed) Date

Our Policy

It is the FJC policy to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Background checks required.

Congratulations

You have now completed the volunteer application form. Thank you for completing this application form and for your interest in volunteering with us.