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| Volunteer Position Sought |
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| Full Name |
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| Street Address: |
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| City: |
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| State: |
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| Zip: |
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| Work Phone: |
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| Home Phone: |
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| Education |
| Highest Level of Education: |
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| Employment |
| Current Employer, if applicable |
| Position/Title |
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| Dates of Employment (starting, ending) |
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| Company/Employer |
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| Address |
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| Would you like us to keep your employer abreast of your volunteer service and achievement? |
Yes No |
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| Special training, skills, hobbies |
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| Groups, clubs, organizational membership's |
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| Please describe your prior volunteer experience (include organization names and dates of service) |
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| 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.]? |
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| Why do you want to volunteer? [or What do you want to gain from this volunteer experience?] |
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| 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. |
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| Do you have? |
| A driver's license? |
Yes No |
| Car insurance? |
Yes No |
| • Car available for transporting others? |
Yes No |
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| 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. |
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| 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 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 ExerciseDaily, Inc. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with ExerciseDaily or my termination as a volunteer.
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