Volunteer Application PERSONAL INFORMATION Your Name (required) Your Email (required) Street Address City, State, Zip Phone Alternate Phone Gender MaleFemale Date of Birth EMPLOYMENT INFORMATION Company Job Title City, State, Zip Work Phone Work Email PREVIOUS VOLUNTEER EXPERIENCE Have you volunteered with other organizations? Organization Name Please describe any work or personal experience you think may be relevant to our program? REFERENCES Reference 1 (Name, relationship, phone) Reference 2 (Name, relationship, phone) Reference 3 (Name, relationship, phone) Emergency Contact (name, relationship, phone) GENERAL VOLUNTEER QUESTIONS Why are you interested in volunteering with F.L.A.W.? Have you been convicted of a crime? Yes or No (If yes, please explain) Do you have experience in working with youth? Yes or No (If yes, please explain) What about yourself do you believe will be an asset to our organization? What are your skills, experience and interest? DISCLOSURES ACKNOWLEDGMENT Our Policy: It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Background Check: F.L.A.W. is designed and geared towards working with at risk youth. Because of the delicacy of nature, if suspicious activity is suspected, a background check and investigation will be completed. Agreement: By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me of this application may result in my immediate dismissal.