Name
*
First Name
Last Name
Email
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MM
DD
YYYY
Phone
(###)
###
####
Which open volunteering position are you applying for? (If just submitting a general volunteering application, please select "general", and provide your volunteering interests below.
*
Volunteer Driver
Dial-a-Ride Reminder Phone calls
General
Current Employment Status
Current Employer Information
Please include employer name, address, and phone number
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
(###)
###
####
Emergency Contact Relationship
*
How did you hear about volunteering with us?
Do you have any previous volunteering experience? If so, where?
Let us know your volunteering interests (please check all that apply)
If you are applying for a posted volunteer opportunity, you may skip this question.
Let us know if you have any other interests or area of expertise that you think could benefit HVCC.
Please give us some general information about your availability. (Days of the week, hours, etc.)
Submission acknowledgement
*
I understand that I am applying to be an unpaid volunteer for Hockanum Valley Community Council, Inc. (HVCC) and that this is not an application for employment. I hereby release HVCC, its officers, directors, employees, volunteers and participants from any liability for any loss cost or damage to me or my property arising out of or in connection with my volunteer assignment. I certify that all answers given by me are true, complete and correct. I authorize HVCC to complete a background and reference check if pertinent to the volunteer program area. If I am accepted as a volunteer, I agree to abide by the requirements of the program and the agency policies and procedures for HVCC’s volunteers.
Please provide two references (one personal and one professional preferred). Please provide reference name, relationship to yourself, and the best phone number to contact them at.
