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Name of Applicant
Date of Birth
Name of Guardian
Guardian Phone Number
Guardian Email
Mailing Address
Email
Can we email you?YesNo
Cell Phone Number
Can we text this number?YesNo
Emergency Contact Name
Emergency Contact Number
Current Occupation
Current Employer
Name of First Reference
Number of First Reference
Name of Second Reference
Number of Second Reference
Are you volunteering for Community Service hours? (E.g. School, H4H, etc.)YesNo
If yes, please specify:
Please list any medical issues we should be aware of: (E.g. Inability to lift, Allergies, etc.)
Please check all positions you wish to volunteer for:Sorting and organizing donationsRetail Floor AssociatePicking up donationsStore MerchandisingCleaning and Maintenance
How much time are you willing to commit?30-180 minutes per week4-10 hours per week11-15 hours per week15+ hours per week
