VOLUNTEER Application

  • MM slash DD slash YYYY
  • Contact Information

  • MM slash DD slash YYYY
  • Home Information

  • Business Information

  • Availability

  • Emergency Contact

  • Education and Training

  • Skills and Qualifications

  • Recent Employment or Volunteer Experience

  • Experience 1

  • Experience 2

  • References

    Please identify two non-family personal and professional references.
  • Personal

  • Background Information

  • Please note: volunteers working directly with our clients will be required to complete a thorough background check.
  • Personal Story

    Tell us about your personal journey and how your experiences have shaped who you are today.
  • Agreement

  • Read the following statement before submitting: By submitting this application, I certify that all of the information I have provided is true and correct. I authorize Qualified to inquire into my background and contact the references provided on this application. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I understand that I am not an employee and will not be paid for my services as a Qualified volunteer.