Volunteer Application

First Name

Last Name

E-mail (We will not spam you or sell your information)

Primary Phone

Alternate Phone

Address

City

State

Zip

Emergency Contact

Phone

Relationship

Have you ever volunteered at St. Stephen's before? If yes, in what capacity?

How did you first become interested in volunteering with St. Stephen's Human Services?

Have you ever utilized our services (Emergency Shelter, Kateri Residence, Programs to End Long Term Homelessness, Street Outreach, Job Room, EFS/MFIP) in the past?

Position(s) of Interest (check all that apply)

Why do you want to volunteer with our organization? Please write at least a few sentences - but more is better!

If you selected other position/group volunteer opportunity in the previous question, what position/opportunity would you be interested in?

List days and times you are available to volunteer

Describe relevant volunteer or work experience that you have had (Again, please write at least a few sentences - more is better!)

Do you have any special training or skills you would like to use in volunteering? Examples include but are not limited to foreign languages, artistic ability, teaching talents, etc. (Don't be modest!)

Since some of our positions involve access to confidential information and/or contact with at-risk populations, a person's prior conviction(s) may be prohibitive to serving in some positions. Depending on the position(s) you are interested in, we may also pursue a background check later in the application process. If the background check shows information different than you have disclosed, we may choose to deny you placement as a volunteer with our organization. This is an opportunity for and a verification of openness and honesty, rather than an attempt to exclude people. Thank you for understanding.

Please disclose all misdemeanor and felony convictions in the last 10 years. Include year and state of conviction.

Please provide the name, phone number, nature of relationship, & length of acquaintance of 2 references who are not related to you.

Reference #1

Reference #2

The information you choose to provide below will allow St. Stephen's Human Services to obtain funding and meet volunteer goals. Please provide as much or as little information as you feel comfortable.

Are you currently employed, unemployed, retired, or a student?

If currently employed and/or a student, what is your...

Employer/Position

School/Major

Does your employer offer a corporate match program for volunteer hours or donations?

Are you a member of any service organizations such as Kiwanis, Rotary, a fraternity or sorority, etc.?

Are you a member of a faith community that may be interested in working with St. Stephen's?

Are you a member of another organization that may be interested in group volunteer projects at St. Stephen's?

If yes, please list

Would you like to receive quarterly e-newsletters from St. Stephen's?

I certify that all information provided above is correct to the best of my knowledge. I also grant the Volunteer Coordinator permission to check provided references.

Thank you for taking the time to apply to volunteer with St. Stephen's Human Services.

Additional Comments

Optional Information

Certification