VOLUNTEER APPLICATION
Please fill out completely and submit. The Volunteer Coordinator will contact you within 5-7 business days.
General Information
Name
*
First Name
Last Name
Today"s Date
-
Month
-
Day
Year
Date
DOB
*
-
Month
-
Day
Year
Date
Primary Phone
*
Additional Phone
Address
*
City
*
State
*
Zip
*
E-mail
*
Can you lift a 40lb bag/box?
*
Yes
No
How did you hear about Beverly Bootstraps?
Have you ever used any of Beverly Bootstraps" programs/services (Food Pantry, Outreach Services, Education Services, etc.)?
*
Yes
No
It is Beverly Bootstraps" policy that clients are unable to volunteer. Please contact the Volunteer Coordinator for other opportunities throughout the North Shore.
Motivation For Volunteering
Reason volunteering
Is this required?
*
Yes
No
For Whom?
Please Select
Court
School
Other
Hours Required
Completion Date
-
Month
-
Day
Year
Date
Are you interested in volunteering after your community service is complete?
Yes
No
If court required, what was your offence/charge?
Occupation
Employer
Work Experience/History
Educational Background or Current School and Grade
Do you speak any languages other than English?
Yes
No
List languages
Have you volunteered before?
Yes
No
Where?
Description of Duties
In case of an emergency, please list the name and number of the person you would like us to contact.
Name
*
Phone
*
Relationship
*
Please Select
Brother
Child
Father
Friend
Mother
Other Relative
Sister
Spouse
What days are you available?
Monday
am
pm
eve
Tuesday
am
pm
eve
Wednesday
am
pm
eve
Thursday
am
pm
eve
Friday
pm
am
eve
Saturday
am
Submit
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