Volunteer Application Form

INSTRUCTIONS
Please read the questions carefully and complete all sections of the application as thoroughly as possible. You may also download an application to complete off-line.

PLEASE NOTE: Contagious Compassion reserves the right to approve or disapprove any volunteer, in its sole discretion.

Be prepared to complete the form in one session, as your answers will not be saved if you leave the site before the application has been submitted.

PERSONAL INFORMATION

Name

Street

City/State

Zip

E-mail

Phone

Cell Phone

Work Phone

Highest Level of Education

Area Of Focus

I would like to support Contagious Compassion as a Mentor Advisor Program Support Volunteer

EXPERIENCE

Have you ever been a mentor/advisor before? Yes No

Where and When?

What, if any other youth organization have you worked for or volunteered with?

Where and When?

EMPLOYMENT INFORMATION

Employer

Occupation/Title

Address

City/State

Zip

May we contact you at work? Yes No

If yes, best # to reach you

How Long Employed

Additional Information You would like us to know

PLEASE NOTE: Meetings between mentor/volunteers and students under 18 years of age must take place in a public (coffee shop, library, etc.) location. If the student is 18 or over, meetings may occur in private residences, but only if one additional adult is also present.

REFERENCES

For background check, please provide your:

Drivers license number

State Issued

Expiration date

Please submit four personal references as follows

Your current or past employer who has known you for at least 1 year
A coworker or friend who has known you for at least 2 years
A coworker or friend who has known you for at least 2 years
A family member (parent/sibling/aunt/uncle) who has known you for at least 3 years.

Please inform references that Contagious Compassion
will contact them soon

1. Current or Past Employer

Employer's Name (or school if student, or professional reference if self-employed or retired)

Supervisor's Name (or teacher if a student or professional reference if self-employed or retired)

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 1 year)

2. Coworker or Friend

Name

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 2 year)

3. Coworker or Friend

Name

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 2 year)

4. Spouse/Domestic Partner or Relative

Relationship to applicant

Name

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 3 year)

Would you like to be contacted by Contagious Compassion about important news and events? Note: We will not share your contact information. Yes No

Volunteer Application Form

PERSONAL INFORMATION

EXPERIENCE

EMPLOYMENT INFORMATION

REFERENCES

1. Current or Past Employer

2. Coworker or Friend

3. Coworker or Friend

4. Spouse/Domestic Partner or Relative

Become a Volunteer