Volunteer Application
SKILLS or HOBBIES: Summarize special skills and qualifications from previous experiences.
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PREVIOUS VOLUNTEER EXPERIENCE: Summarize your previous volunteer experiences.
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TRANSPORTATION: Car Bus Walk Other
Do you require special accommodations? No Yes
Are there any groups with whom you would not feel comfortable working with? No Yes (If so, please explain below)
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BACKGROUND CHECK: Do you have a criminal record? No Yes (If so, please explain below)
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REFERENCES: (Personal or Professional)
Name Address, City, State, Zip Phone
# 1 ____________________________________________________________________________________________________
# 2 ____________________________________________________________________________________________________
# 3 ____________________________________________________________________________________________________
EMERGENCY CONTACT:
Name (first & last): ____________________________________________________________________________
Address: ___________________________________________________________________________________
City: ______________________________________________ State: ________ Zip: ______________________
Phone #: ( ___ )_______-__________ Email: ___________________________________________________
I certify that the information contained in this application is correct and complete to the best of my knowledge. I realize that misrepresentation of facts will be cause for
rejection of this application. I understand that my enrollment as a volunteer is contingent upon successful completion of the application process, including reference
checks and a criminal history check. I give my permission for my references to release information about me and my criminal history verified. I understand that
Goodwill Industries of Greater Detroit does not discriminate on the basis of race, color, national origin, sex, disability, age or religion and that this application will be
handled in a confidential manner.
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Signature Date
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