Volunteer Today: Make a Difference in Your Community

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Select Phone Preference(Required)

Preferred Phone Number(Required)

Preferred Email Address(Required)

Gender Identity(Required)

Race Identity (select all that apply)(Required)

American Indian or Alaska Native

Asian

Black or African American

Hispanic/Latino

Native Hawaiian or Other Pacific Islander

White

Decline to Answer

Date of Birth(Required)

Age(Required)

Language (Select all that apply)(Required)

English

Spanish

Other

Physical Limitations (if none, write 'n/a')(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Volunteer Experience

Select Areas of Interest for Volunteering:(Required)

Urban Farm

Administration

Summer Camp

What areas would you like to volunteer in the Urban Farm?(Required)

Aeroponic Tower Farm

Compost

Micro Greens

Organic Soil Farm

Interests, Skills, Hobbies

Clubs & Orgs You Belong To

Education(Required)

(highest level)

School(Required)

Employment History

Are You Currently Employed?

Yes

Date Employment Began(Required)

Name of Supervisor(Required)

First

Job Title(Required)

Description of Duties(Required)

Name of Previous Employer(Required)

Phone(Required)

Date Employment Began(Required)

Date Employment Ended(Required)

May We Contact Your Employer?(Required)

Yes

Description of Duties(Required)

Reference #1

Full Name(Required)

Full Name

Relationship(Required)

Phone and/or Email(Required)

Reference #2

Full Name

Relationship

Phone

Availability(Required)

Time Slots Available: Mondays – Fridays from 8am-11am; 11am-2pm. Please write down your availability within these time constraints. We prioritize consistency with volunteering due to training. If the time slot is consistent, write “recurring.” If the time slot is only for one time, write specific date and write “one-time.” Please let us know at least 48 hours in advance so we can schedule you in accordingly.

Criminal History

Have you ever been convicted of a misdemeanor or felony, or are any misdemeanor or felony charges pending against you?(Required)

Yes

My signature below certifies that all statements made on this application are true, complete, and correct to the best of my knowledge and belief, I understand these statements are subject to verification. I understand that falsification on this application can disqualify me from consideration or result in my volunteer services being denied. Furthermore, my signature below provides my authorization to [nonprofit] to conduct reference and background checks to determine my suitability for placement.

Signature(Required)

Date(Required)

Volunteer Application

Volunteer Experience

Employment History

Reference #1

Reference #2

Criminal History