Volunteer Application  
Volunteer Position Sought
Full Name
Street Address:
Work Phone:
Home Phone:
Highest Level of Education:
Current Employer, if applicable
Dates of Employment (starting, ending)
Would you like us to keep your employer abreast of your volunteer service and achievement? Yes No
Special training, skills, hobbies
Groups, clubs, organizational membership's
Please describe your prior volunteer experience (include organization names and dates of service)
What experiences have you had that may prepare you to work as a volunteer in the field of [description of field, e.g. domestic violence, child abuse prevention, youth recreation, etc.]?
Why do you want to volunteer? [or What do you want to gain from this volunteer experience?]
Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction and disposition.] Conviction of a crime is not an automatic disqualification for volunteer work.
Do you have?
A driver's license? Yes No
Car insurance? Yes No
• Car available for transporting others? Yes No
REFERENCES: Please list three people who know you well and can attest to your character, skills and dependability (NOT family members). Include your current or last employer.
Name/Organization Relationship to You Phone Length of relationship
Please read the following carefully before signing this application:
I understand that this is an application for and not a commitment or promise of volunteer opportunity.

I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Club ExerciseDaily that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Club ExerciseDaily, Inc. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Club ExerciseDaily or my termination as a volunteer.
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