Volunteer Application

Applicant Information

Applicant Name:

Address:

City, State and Zip Code:

Telephone Number:

Email Address:

Date of Application:

Volunteer Position

Position(s) applying for

How did you hear about this position?

What days are you available to volunteer?

What hours or shift are you available to volunteer?

On what date can you start volunteering if you are accepted?

Do you have reliable transportation to and from the Center?

Personal Information

Do you have any friends, relatives, or acquaintances working for Southern NJ Community Services?

Yes

No

If yes, state name & relationship:

Are you 18 years of age or older?

Yes

No

Are you a U.S. citizen or approved to work/volunteer in the United States?

Yes

No

Will you consent to a mandatory controlled substance test?

Yes

No

Do you have any condition which would require job accommodations?

Yes

No

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

***Note: No applicant will be denied volunteer status solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

***Note: Southern NJ Community Services complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees/volunteers to perform essential functions. It is possible that a hire/volunteer may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for leaving

Volunteer Application

Can we count on you?

Contact

info@snjcs.org

Address