EmailMeForm
Volunteer Application
Instructions: Please enter all information. You are able to save your application and resume it at a future time if necessary, however we are not able to consider you as a volunteer until you have thoroughly completed the application. (You have 14 days to return and complete your application if you Save & Resume)
Thank you for considering being an exciting part of our Community Outreach Program which is a great place to donate your time and talents. Volunteers are vital in helping us meet the needs of financially challenged and disabled elderly in our community.
We know your time is precious and we want the time you use to volunteer to be worthwhile and a wonderful remarkable experience. So, we are asking you to complete this application completely so we are able to match your skills, talents and interest to opportunities we have available and those that become available.
Name
*
First
Last
*The field will hold all the letters of your name.
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Personal Information
Phone Number
*
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Your Email Address
*
Confirm
Are you eligible to work in the United States?
*
Yes
No
Have you ever been convicted of a criminal offense?
*
Yes
No
Are you at least 18 years of age?
If no, you have to be at least 16 years old with a written and signed consent from your parent or guardian. Provide your parent or guardian's phone number and e-mail address in space below.
*
Yes
No
Parent/Guardian:
E-mail Address & Phone Number
What date are you available to start?
*
MM
/
DD
/
YYYY
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any
Hours Available
*
AM: Between 8:00 and 11:59
PM: Between 12:00 and 5:00
Evenings: Between 5:01PM and 8:00PM
For specific Day/Hour time availability, please enter in provided space.
EDUCATION
Highest Level of Completed Education
*
Please select
High School/GED
Bachelors
Masters
Doctrate
List Your Skills, Certifications, Licenses, Special Training, and Awards
*
VOLUNTEER BACKGROUND
Considering all of your volunteer experience since age 16 (including church, community, etc) select your number of years of experience.
0 years to 1 year
2 years to 4 years
5 years to 10 years
11 years or longer
Tell us about the most rewarding volunteer assignment you did and why did you enjoy it so much.
*
How do you like to work?
*
Alone
In a group of 2
In a group of 2+
Does not matter
CURRENT EMPLOYMENT
If you are currently employed, please enter the name of your employer, phone number and your position below.
May we contact your current employer for a reference?
*
Yes
No
REFERENCES
Please list 3 people besides relatives and current employer whom have known you for at least 2 years and knows you well enough to provide us with a reference.
Reference #1:
*
Reference #2:
*
Reference #3:
*
Thanks for your effort and time in completing this application. If you have any questions about this or any part of the application process, please send an e-mail to VolunteerNetwork@ServiceEliteUSA.com or call 281-677-6544.
You certify that information contained in this application is true and complete. You understand that false information is grounds for not being considered as a volunteer and immediate termination of volunteering at any point in the future if any information provided is found to be false. You authorize the verification of any or all information listed above. You also consent to a background check and drug test at time of application and at any time during my tenure as a volunteer; randomly and for probably reasons.
Do you agree with the terms and conditions?
*
Yes, I agree.
Initial
*
Date
*
MM
/
DD
/
YYYY
Image Verification
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