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ROCHESTER
AREA
NEIGHBORHOOD HOUSE
Volunteer
Application
______________________________________________________________________
Section
I – Personal Information:
Please
Print
Name:
__________________________________________________________________
First
Middle Last
Address:
________________________________________________________________________
Number
Street Apt/Suite #
________________________________________________________________________
City
State
Zip Code
Home
Phone :_______________
Work
Phone :______________
Email:
__________________________
May
we call you at work: ___ Yes ___ No
Volunteer
Status: Adult_______
Teen*_________ Group**____________
Name
of Organization___________________
*Note:
Volunteers must be 18 years of age to work with client related
programs
**Note:
Groups of children or teens should be accompanied by chaperones
Volunteer
Opportunities:
.
Office
Volunteer: Assist
with staff with administering programs and providing assistance
to clients. Assist by answering phones, greeting clients ,filing,
copying, completing mailings, and other miscellaneous tasks
as needed.
Clothes
Closet Volunteer: Assist
in maintaining clothes closet inventory and services to clients.
Assist by greeting clients, sorting clothing donations and
recording client clothing selections.
_____________________________________________________________________________________________
Availability
for Volunteer Service:
Days:
Time(s):* Area
of Interest
__Monday
____________________
__Tuesday
____________________ Office
Assistance ______
__Wednesday
____________________ Clothes
Closet ______
__Thursday
____________________ Special Events
______
__Friday
____________________ (as
needed)
__Saturday
____________________ Other
_____________________
Groups:
Please state the type of group and volunteer opportunity you
are looking for__________________________
_____________________________________________________________________________________________
Hobbies:
___________________________________________________________________
Skills
: _____________________________________
Do you have computer experience: __ yes __ no
How
were you referred to us: ___________________________________________________________
Section
II – Background
Information:
A
background check will be performed upon acceptance into this
volunteer program.
Employment
History: (past
three years):
Employer
Address Job Title Telephone
Dates of Employment
1.___________________________________________________________________________
2.___________________________________________________________________________
3.___________________________________________________________________________
Education:
High
School: ______________________________________________________
College:__________________________________________________________
Volunteer
Experience: (e.g.:
community organizations, church, scouts, schools, etc…)
Organization
Address Assignments Dates
1.___________________________________________________________________________
2.___________________________________________________________________________
References:
Name
Address Relationship
Phone
1.___________________________________________________________________________
2.___________________________________________________________________________
Have
you ever been convicted of a felony? ______Yes ______No
Permission
to Verify Content:
I
____________________________________ (applicant) hereby authorize
verification of all statements herein and release Rochester
Area Neighborhood House and all others from liability in connection
with same.
____________________________________________________
_______________
Applicant's
Signature Date
Please
return to :
Rochester
Area Neighborhood
House Tel: (248) 651-5836
Attn:
Volunteer Coordinator www.ranh.org
1234
Inglewood
Rochester
, MI 48308
Volunteer
Application.doc Received __________
Orientation _________ Entered into Database ________
11/07
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