Volunteer Application

Name *

Age *

Race *

Sex *

Address *

City *

State *

Zip *

Home Phone *

Cell *

Best Time To Call *

8 a.m.-5 p.m.After 5 p.m.

E-mail *

What volunteer opportunity are you interested in? Check all that apply. *

Office/ClericalBible StudyTransportation/DriverAA/NA GroupFundraising/Special EventsFamily DayOther

Are you willing to be a part of our next volunteer orientation?

YesNo

What hours would you be available to volunteer? *

Signature of Applicant *

Date *

I agree:

I hereby authorize the 24/7 House, Inc. to contact the above named reference to establish my suitability as a volunteer, and I hereby release them and their organization from all liability for any damage for issuing the same. I further authorize 24/7 House, Inc. to maintain this information in their records and absolve then from liability. Disclaimer: It is the policy of the 24/7 House to screen all prospective volunteers. While we try to place every applicant, we reserve the right to select applicants according to our needs and criteria. I understand and respect the confidential nature of the information I may have access to in performing my volunteer duties for the 24/7 House, Inc. I authorize 24/7 House, Inc. to publish my name and likeness in 24/7 House, Inc. promotional materials, news releases, etc.

Volunteer Application

Section

Verification