Volunteer

Position of Interest

Date

First Name

Last Name

Address

City

State, Zip

Cell Phone

Home Phone

Emergency Contact

Emergency Contact Phone

References

Name

Phone

Relationship

Name

Phone

Relationship

Volunteer Goals

Summarize Your Current Work History

Current job title & employer

Brief description of present duties

Brief summary of employment history

Relevant Education

If enrolled, school now attending

Other School

Major

Previously earned degrees

Relevant Skills

Times Available

Hours per week

Availibility

Volunteer Experience

Age & Languages

Age

Fluent in other languages

Other language

Transportation

Have a valid CA driver's license?

Have automobile insurance?

CA Driver's License #

Expiration date

Been put on probation or has your driver's license been suspended/revoked within the last 5 years?

If yes, please explain:

How Did You Learn About The Volunteer Program?

Stanislaus County Volunteer Opportunities Website

Verification

Electronic submissions of volunteer applications require you to please type your name to acknowledge your acceptance of the above statement.

Required for all Volunteer Opportunities in excess of 25 hours, but not one time Group Events

Volunteer Form