Everyone's Wilson · Volunteer Registration

Contact Information

The information you provide in this application will be used to complete a background check before you are approved to volunteer. Please complete the form to the best of your ability.

Name *

First Name

Last Name

Email *

Verify Email *

Primary Phone Number *

Birthday

(mm/dd/yyyy)

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Church Name *

Highest Level of Education *

Organization/Employer

Job Title

How did you hear about Everyone's Wilson? *

Church

Internet

Social Media

Friend or Family

School

Event

Days Available

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Times Available

Morning

Afternoon

Evening

Occasionally for special projects

Frequency

Have you ever been convicted of any law violation (except minor traffic violations?) *

Yes

No

Please describe in full and give dates *

Have you ever volunteered before? *

Yes

No

Volunteer Organization Name

Please describe your volunteer experience (current and previous)

Special Skills or Qualifications

Do you have the following tools and would you be willing to use them for special requests:

Please select all that apply

Truck

Saw

Power Sprayer

Sewing Machine

District Preference

Please select which district you would like to volunteer in.

Age Group Preference

Please select which age group you would prefer to volunteer with.

Person to Notify in Case of Emergency *

First Name

Last Name

Relationship

Emergency Contact Phone *

Emergency Contact Secondary Phone

Background Check Release *

I hereby authorize Everyone's Wilson or other authorized representatives of the Agency bearing this Release, or copy thereof, within one year of its date, to obtain any information in your files pertaining to any felony convictions through First Advantage National Criminal File, sexual offences through the National Sex Offender Registry (Dept. of Justice) and for Social Security Number Verification. I understand if any misdemeanors are listed that Everyone's Wilson reserves the right to determine if I can continue as a volunteer. I hereby direct you to release such information upon request of the bearer. I hereby release you, as the custodian of such records, and any law enforcement agency, including its officers, employees, or related personnel, both individually and collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs or associates, because of your compliance with this authorization and request to release information, or any attempt to comply with it or the nature of the information you provide. This Release is executed with the full knowledge and understanding that the information will be used in connection with the consideration of my volunteering by Everyone's Wilson. Should there be any question as to the validity of this Release, you may contact the Agency as indicated above.

Yes

No

Statement of Applicant *

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I'm accepted as a volunteer, any false statements, omissions, or other misrepresentations may result in my immediate dismissal. I understand that my current employer, the volunteer site that I have listed in my application and law enforcement/criminal records agencies may be contacted by Everyone's Wilson on my behalf.

Yes

No

Image Release *

I grant permission to Everyone's Wilson, its employees and agents, to take and use visual/audio images of me. Visual/audio images are any type of recording, including but not limited to photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. I agree that Everyone's Wilson owns the images and all rights related to them. The images may be used in any manner or media without notifying me, such as organization-sponsored websites, publications, promotions, broadcasts, advertisements, posters and theater slides. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them, or to be compensated for them. I release Everyone's Wilson and its employees and agents, including any firm authorized to publish, broadcast and/or distribute a finished product containing the images, from any claims, damages or liability which I may ever have in connection with the taking or use of the images or printed material used with the images. I am at least 18 years of age and competent to sign this release. I have read this release before signing, I understand its contents, meaning and impact, and I freely accept the terms.

Yes

No

Social Media Policy *

I understand volunteers are prohibited from being “Friends” on Facebook, or “Followers” on Twitter, or engaging in any other kind of personal relationship via social media outlets with students.

Yes

No

Please type your name. By doing so you are also indicating that you understand we will consider this an electronic signature. *

Have you attended Everyone's Wilson Volunteer Training? *

Yes

No

Have you completed the background check process with the school district? *

Yes

No