Volunteer Application

Where compassion is a way of life...

Contact Details
Name
Address
City State
Home Phone
E-mail Education
Year School
Skills
Do you speak any languages in addition to English?
Days 9am-12pm

Overnight Coverage Monthly
Are you interested in volunteering:
Weekly
Special Projects
Weekend Availability Year School Degree
Degree Today'sDate
Date of Birth
Cell Phone Zip
CA License # Auto Insurance
Employer Position
Personal Reference (no family members please)
Professional Reference (paid or unpaid position) Relationship How long? Phone
Name Company & Job Title Phone
Yes No Which?
Interests
Special Events, Field Trips, & Fundraisers
General Emmaus House maintenance Working with moms

Donation Sorting and Stocking Working with children

Yard maintenance Accounting/Office
Hotline Coverage Transportation Homework club Facilitator
ESL/GED workshops
Cooking Classes
Yes, please add me to your newsletter mailing list! Have you ever been convicted of a Felony? Yes No
Please list all relevant training, education, or volunteer experiences.
Availability
Afternoons & evenings Weekdays only
On Call
Tailor your own volunteership (include days, times, and activities)
Computer Proficiency: MS Excel MS Word MS Power Point Other
How did you hear about Emmaus House?

Thank you!