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VOLUNTEER APPLICATION FORM
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Indicates required field
Name
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First
Last
Home Phone Number
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Cell Phone Number
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Work Phone Number
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Address
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Line 1
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City
State
Zip Code
Country
Email
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Employer
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Job Title
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Emergency Contact
Name
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First
Last
Home Phone Number
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Cell Phone Number
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Address
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Line 1
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City
State
Zip Code
Country
Name of Company/Organization
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Availability
Available Days
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please check all that apply.
Length of Commitment
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More than 3 months
Less than 3 months
One time
Areas of Interest
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Special events
Fundraising assistance
Community awareness
Office assistance
Outdoor landscaping assistance
Other
Please check all that apply.
What hours are you available?
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Additional Information
How did you hear about Holly's House?
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Please list any special hobbies, skills or talents.
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Previous or Current Experiences in Volunteering and/or Employment
We reserve the right to contact places where you have volunteered or been employed in the past for a reference.
Names of Agencies
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Duties
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Supervisor Name(s)/Title(s)
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Organizations of Which You Are Now a Member
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Photograph Release
Check All That Apply
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I give my permission for my photo to be included on the website and social media sites for Holly's House. I understand that such photos may be located on the internet and could be seen throughout the world by people with access to the internet.
I give permission for my photo to be included in Holly's House media and marketing, such as commercials, brochures and other promotional materials. I understand that such photos could be seen by the public in multiple venues.
I do not give my permission for my photo to be included on the website and social media sites for Holly's House.
Affirmations
I certify that all information submitted by me on this application is true and complete. I understand that if any false information, omissions or misinterpretations are discovered, my application may be rejected and active volunteer status may be terminated at any time. In consideration of my volunteer application, I agree to adhere to the policies and regulations of Holly's House, Inc.
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Date
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