Applicant information

First name

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Last name

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Phone

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Phone type
Email address

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Email type

Address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Date of birth

Month

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Day

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Year

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Background

Gender

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Ethnicity

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Education

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Languages
A.

About You

Why do you wish to volunteer in an emergency shelter?

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Briefly describe previous volunteer experiences (name of organization, time of involvement, type of work):

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Have you had any experience working with people in poverty or people experiencing homelessness? Please describe experience if applicable.

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Please describe your experience working with people from a variety of cultural backgrounds.

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Employer

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What is your occupation (current or previous)?

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What are your hobbies and interests?

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Have you utilized our services (Shelter, Transitional Housing, etc.) in the past?

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Have you ever been convicted of a crime? Please disclose all convictions in the last 10 years, including the year and state of conviction. Some of our positions involve confidential information and contact with vulnerable populations. Having a conviction doesn’t necessarily exclude you from volunteering.

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Are you currently attending school?

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Will you receive academic credit for your volunteer work?

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Are you volunteering because of a court order?

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B.

Personal References

For each reference please include name, email, and phone number.

Reference #1 Name: First and Last

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Reference #1: Email

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Reference #1: Phone

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Reference #2 Name: First and Last

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Reference #2: Email

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Reference #2: Phone

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Reference #3: First and Last

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Reference #3: Email

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Reference #3: Phone

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