Volunteer With Lifebridge | Lifebridge Volunteer Application

Contact Information:

Name *

Date *

Address *

Address

City

State/Province

Zip/Postal

Country

Email *

Phone *

Emergency Contact Information:

Name *

Relationship *

Phone number to call *

Volunteer Specifications:

Do you need hours for a class, college credit, or honor society? *

Yes

No

Program/Class Title *

School/University *

Do you need hours for community service? *

Yes

No

Probation Officer *

Phone *

Total Community Service Hours Needed *

Are there any judgements in place preventing you from interaction with minors, the elderly, or disabled persons? *

Yes

No

Volunteer Interests: (Please check all that apply)

Schedules may be made in blocks of 2 - 3 hours. Only one block per day may be completed. Volunteers must commit to atleast 1 scheduled block per week.

Please indicate the most appropriate days and times that you will be available to volunteer:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday (Thrift Shop Only)

Sunday (Thrift Shop Only)

Please describe in detail why you are interested in volunteering at Lifebridge. *

Information about your interests, skills, experience that relate to the preferencse indicated previously. *

Lifebridge Safety & Emergency Procedure

I have read and agree to the Emergency & Safety Procedure *

I agree

Lifebridge Volunteer Contract

I have read and agree to the Volunteer Contract *

I agree

Volunteer Opportunity I am applying for: *

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