Volunteer ApplicationName (Primero Nombre) First Last Email(Required) Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone(Required)Home PhonePreferred method of contact Mobile Phone Home Phone Email Work Status Currently Employed Self-Employed Retired Faith Catholic Christian Other Reply OptionalPersonal Reference #1Name First Last PhonePersonal Reference #2Name First Last PhonePersonal Reference #3Name First Last PhoneHave you ever volunteered before?(Required) Yes No Have you ever been convicted of a crime?(Required) Yes No Have you been fingerprinted for a position?(Required) Yes No Resident Support Arts & Crafts Health / Healthcare Transportation Childcare Mentoring / Teaching Cooking Maintenance Other Explain Resident Support Other Organizational Support Special Events - Fat Friday Gala Office / Administrative Support Community Outreach Special Events - Baby Bottle Drive Finance / Bookeeping Board Member Grant Research / Writing Special Events - Other Explain Other Special Events Facility Support Trade (Plumbing, Electric, Carpentry, HVAC, etc. General Maintenance (Yard Work, Painting, etc. Other Explain Facility Support Other Availability (please check all that apply) Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Available AM PM Whenever Needed How did you hear about us?What attracted you to volunteer at the Visitation House?Other CommentsThank you for your interest in Visitation House. We look forward to working with you.PhoneThis field is for validation purposes and should be left unchanged.
