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.