Grand Valley Catholic Outreach · Volunteer Application

Contact Information

Name

*

First Name

Last Name

Phone

*

Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Date of Birth

*

(mm/dd/yyyy)

Drivers License # and Exp. Date

Previous Volunteer Experience

Work Experience (list name of employer, hours, and duties for most current employment)

Briefly explain why you would like to volunteer for Grand Valley Catholic Outreach

Education

High School Diploma/GED

College Degree

Graduate Degree

Area of Study

What days are you available for volunteer work

*

Monday

Tuesday

Wednesday

Thursday

Friday

What times are you available during the day for volunteer work

*

Areas of Interest

*

Clothing Bank

Day Center

Food Pantry

Soup Kitchen

Book in Hand

Maintenance/Landscaping

Housekeeping

Outreach Office

Food Donation Pick Up

Other

List any special skills, training, or interests you have

(include languages other than English)

List two personal references other than family (name, address, phone #, relationship)

Do you have any special needs or health limitations?

If yes please explain

Have you ever been arrested or convicted of a felony?

If yes please explain

How did you hear about our program?

Would you like to receive mailers?

*

I certify that this information is true and accurate to the best of my knowledge and I grant GVCO permission to contact the references I provided.

Signature

Date

If under age 18, a parent or legal guardian must also sign this application.

Parent/Guardian Signature

Date

Phone Number