VITA Volunteer Onboard

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Volunteer Registration

How many days a month would you like to volunteer?

Days available (pick all that apply)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

How many hours a week would you like to volunteer?

What shift(s) are you available to work?

8 am - noon noon - 4 pm 4 pm - 8 pm

Name*

First Name*

Last Name*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone*

Email*

Photocopy of Driver's License*

No File Chosen

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Are you a registered volunteer with us?

Yes No

Who is your Volunteer Supervisor?

What type of volunteer jobs are you interested in?

Food Prep Food Service Childcare

What are your volunteer goals?

Background Profile

Gender

Female Male

Date of Birth

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Month

Day

Year

Driver's License Number

Have you been convicted of a crime?

No Misdemeanor Felony

Have you been approved to volunteer in this type of setting? Please explain below.

Reference we may contact

First Name

Last Name

Reference Email

Reference Best Phone

Background/Reference Check

Driver's License Cleared?

Yes No

Criminal Reference Cleared?

Yes No

Volunteer Needs

Food Prep: With day and time preferences, the most needed station to assign volunteer to is:

Food Service: With day and time preferences, the most needed station to assign volunteer to is:

Childcare: With day and time preferences, the most needed station to assign volunteer to is:

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