| C.A.R.E. APPLICATION for VOLUNTEERS | ||||
| Name ____________________________________________________________ Date__________ | ||||
| Address_________________________________________________________________________ | ||||
| Home Phone____________________ Business Phone_______________________ SSN_________ | ||||
| Complete Grades of Education_______________________________________________________ | ||||
| Do you have a valid driver's license?___________ If Yes, issued by what State______________ | ||||
| In the past 7 years, have you been convicted of a misdemeanour or felony? ___ Yes _____ No | ||||
| Describe any volunteer work you have done:_________________________________________ | ||||
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| Please list three references that are not related to you or previous supervisors: | ||||
| 1. Name_________________________________________ Relationship____________________ | ||||
| Phone#_______________________________________ | ||||
| 2. Name_________________________________________ Relationship____________________ | ||||
| Phone#_______________________________________ | ||||
| 3. Name_________________________________________ Relationship____________________ | ||||
| Phone#_______________________________________ | ||||
| Please list the day and hours
that your are available to work.___________________________ ______________________________________________________________________________ ______________________________________________________________________________ |
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| ______________________________________________________ | _________________ | |||
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Volunteer Signature |
Date |
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