| Check appropriate category and location: |
Individual
Group
FONP -West Side |
If Community Service, City
Completed Court / School Address Below in Employment Contact: |
|
| If Community Service, #Hours: |
|
| If Community Service, Judge: |
|
Contact Information: |
| Name: |
|
| Group Name (if applicable); |
|
| Street: |
|
| City or Town: |
|
| State/Zip: |
|
| Telephone: |
|
| Cell Phone: |
|
| E-mail: |
|
Personal Information: |
Write down one or more Interests:
Choices: Serving Meals,
Preparing Meals, Food Pick Up Driver,
Clothing Room, Fundraising |
|
Write down your preferred daily volunteering times:
Choices: Morning, Afternoon, Evening |
|
Write down your preferred monthly volunteering times:
Choices: Weekend, Weekly, Monthly |
|
| Choose a work schedule: |
Regular Schedule
As Needed |
| Choose a work environment: |
Work in a Team
Work Independently |
Have you ever been
convicted of a felony? |
Yes
No
|
| If you answered yes to the question above, please explain: |
|
Employment / Community Service Contact: |
| Employer, Court, or School: |
|
| Address: |
|
| City: |
|
| State/Zip: |
|
| Telephone: |
|
Reference 1: |
| Name: |
|
| Relationship: |
|
| Telephone: |
|
Reference 2: |
| Name: |
|
| Relationship: |
|
| Telephone: |
|
Volunteer Experience: |
| Name of Organization: |
|
| Start Date: |
|
| End Date: |
|
| Duties: |
|
| Name of Organization: |
|
| Start Date: |
|
| End Date: |
|
| Duties: |
|
| If you have any medical restrictions, please explain: |
|
| Questions or Comments: |
|
|