Volunteer Application

First and Last Name*

Address*

City*

State*

Zip*

Phone Number*

Email Address*

Birthdate (MM/DD/YYYY)*

Optional Fields Optional Fields No Show

(Optional) Pronouns (Optional) Pronouns He/Him/His She/Her/Hers They/Them/Theirs Other

Please tell us a little about yourself, and why you're interested in volunteering. This section is optional, but will allow us to better know you and what you envision your volunteer experience to look like. Description

Volunteer Interests Volunteer Interests No Show

Please list your available days and hours you are interested in volunteering. Some of our opportunities are limited based on our office hours.

Volunteer Interests (Check one or more opportunities you are interested in) Volunteer Interests (Check one or more opportunities you are interested in) Donation Drive & Fundraisers Donate A Meal to Our Shelter Sorting Donations Shelter Activities (arts & crafts, game nights, movie nights, teach a class, etc.) Beautification (landscaping, gardening, painting, cleaning and organiziation) Administrative Assistance Event Volunteering Other

Have you been convicted of a crime? Have you been convicted of a crime? Yes No

If selected yes, please list all misdemeanor and felony convictions. A criminal conviction does not automatically mean that you cannot volunteer at Welcome House. You may include any mitigating factors that you feel should be considered.

If Other, please specify

How did you hear about Welcome House? How did you hear about Welcome House? Word of mouth Internet search School Place of Employment Newspaper TV/Radio Church Brochure Other

If Other, please specify.

If Other, please specify.