Please fill out the following as completely as possible so we can get to know you better and determine how it would be best for you to get involved.
Please note that a minimum 4-6 week commitment is requested (attending at least 1 workout per week or 2 hrs of other volunteer work).
Thanks for your interest and we look forward to the possibility of you becoming involved!
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| First Name* |
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| Last Name* |
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| Address |
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| City |
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| State |
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| Zip |
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| Phone* |
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| Email* |
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| Employer |
If not currently employed list most recent employer. |
| Position |
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| Time Employed |
Please list dates (mo/yr) |
| Supervisor |
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| Contact Number |
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| May we contact? |
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| Education Completed |
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| School and Location |
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| Skills, Training, Licenses etc |
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| Availability |
Indicate specific days and times (e.g. Mon 6-9am, Wed 2-5pm) |
| Desired Commitment |
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| Volunteer Experience |
Indicate organization(s) you have worked with and volunteer role(s). |
| Why do you want to volunteer? |
Please be specific. |
| Worked with victims of violence in the past? If yes, please describe. |
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Challenges working with
victims of violence? |
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| Experience with fitness. |
Include specific interests, time you personally spend working out, and lifestyle habits that demonstrate a commitment to fitness and health |
Have you ever been convicted of a felony (or
misdemeanor involving violent or fraudulent
conduct)* |
Answering yes will not necessarily disqualify you, however being dishonest will. |
| If yes, please provide date, offense, etc. |
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| Upload Resume |
If you have a resume feel free to upload it as a text, pdf or word document. |
Please Check the box to indicate your agreement
with the statement below* | I agree I hereby certify that all answers and statements made on this application are complete and true to the best of my knowledge. I understand that any misleading, misrepresentation and/or omission of information will cause this application to be rejected and will be grounds for discharge. I further understand that submitting an application doesn't guarantee that I will be accepted as a volunteer. Should I be accepted and agree to become a volunteer I am aware that I must make a minimum 4-6 week commitment and attend at least 1 workout per week or perform 2 hours per week of other volunteer work. |
| Image Verification |
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