<p> Volunteer Application</p><p>Applicant Note: This application is intended for use in matching your qualifications for prospective placement at volunteer opportunities in South Jersey. Questions asked on this application and in the interview are designed to help us match you with a volunteer position. Please answer all appropriate questions completely. Information from this application may be used in a subsequent interview. All information is kept confidential and is for use by the Volunteer Center only. Thank you for your interest in the Volunteer Center of South Jersey.</p><p>Instructions: Please click on the boxes and type in your answers in the fields to complete this application. The form fields are expandable and have unlimited space. Once you have completed the form, please click ‘File’ and select ‘Save As’. Under ‘Save as type’ please select PDF or Word, and under ‘File name’ please save the document as your ‘Last name, First Name’. Then email your completed application back to the Volunteer Center as an email attachment. If you have any questions, please call us.</p><p>Name: Last: , First: Date of Birth: Today’s Date: </p><p>Group Name (if applicable): </p><p>How did you learn about the Volunteer Center of South Jersey? </p><p>Emergency Contact Name: Relationship: Emergency Phone: () - </p><p>HOME INFORMATION</p><p>Street Address: Address line 2: </p><p>City: State: Zip: </p><p>Home Phone: () - Cell Phone: () - Best Way to Reach You: Home Phone Cell Phone</p><p>Email (home): Personal Website: </p><p>Facebook: LinkedIn: Twitter: </p><p>WORK INFORMATION</p><p>Are you: Employed Unemployed Retired Student </p><p>Highest Degree Earned: Degree type: </p><p>Name of Employer: Title: Employer Website: </p><p>Volunteer Center of South Jersey, 1400 Tanyard Road, Sewell, New Jersey 08080 Phone: (856) 415-9084 . Fax: (856) 415-9085 . Email: [email protected] Website: www.sjvolunteers.org Work Address: Address line 2: City: State: Zip: </p><p>Work phone: () - Work extension: Best time to call: </p><p>Email (work): Does your employer match gifts? Y / N </p><p>Does your employer have a matching program for your volunteer hours? Y / N </p><p>When are you available for volunteer work? (Please check all that apply.)</p><p>Note: This answer does not place you under any obligation.</p><p>Weekdays Weekends Evenings Occasionally</p><p>Saturdays only Sundays only For Emergencies On call</p><p>Other: </p><p>How will you get to a volunteer position? (Please check all that apply.) Bicycle Public Transport Drive Do not know</p><p>Walk Will be driven</p><p>I prefer to work: (Please check all that apply.) Alone With others Indoors Outdoors</p><p>In a busy setting In a quiet place With lots of freedom Other: </p><p>VOLUNTEER INTEREST</p><p>What type of volunteering are you interested in? You have unlimited space.</p><p>What type of volunteering are you NOT interested in? You have unlimited space.</p><p>I am interested in volunteer opportunities/programs that assist with: (Please check all that apply.) </p><p>Advocacy Agriculture Animals Arts and Crafts Bereavement </p><p>(death and dying care)</p><p>Volunteer Center of South Jersey, 1400 Tanyard Road, Sewell, New Jersey 08080 Phone: (856) 415-9084 . Fax: (856) 415-9085 . Email: [email protected] Website: www.sjvolunteers.org Caregiver/Respite Children & Youth Community Development Companion Disabilities</p><p>Domestic Violence Drug/Substance Education Emergency Environment</p><p>Abuse Services Errands Family Support GLBTQ Health and HIV/AIDS</p><p>Human Services Homelessness Hotline/Chatline Housing Hunger & Food Literacy</p><p>Men’s Issues Mental Health Mentoring Music Non Profit </p><p>Organizations Poverty Public Assistance Religious Groups Seniors Special Events</p><p>Technology Transportation Tutoring Veterans Women’s </p><p>Issues Other: Other: Other: Other: Other: </p><p>I would like to work with: (Please check all that apply.) </p><p>Infants/ (age 0-4) Children (5-12) Adolescents (13-17) Young Adults (18-25) Older Adults (55+)</p><p>Abused/ Battered Disabled/ Sick Disaster Victims Families/ Parents Government Aid </p><p>Recipients</p><p>Homeless Low-income/ Men Military/ Veterans Students</p><p>Poverty</p><p>Women Religious Groups Other: Other: Other: </p><p>VOLUNTEER SKILLS INVENTORY</p><p>Please check all the skills you have and are willing to share.</p><p>WRITING/ART</p><p>Desktop Publishing Editing Grant Writing Graphic Design</p><p>Volunteer Center of South Jersey, 1400 Tanyard Road, Sewell, New Jersey 08080 Phone: (856) 415-9084 . Fax: (856) 415-9085 . Email: [email protected] Website: www.sjvolunteers.org Photography Proofreading Typing Videography</p><p>COMPUTER SOFTWARE</p><p>Microsoft Access Microsoft Excel Microsoft PowerPoint Microsoft Publisher</p><p>Microsoft Word Quicken/ QuickBooks Other: Other: </p><p>WEBSITE & COMPUTERS </p><p>Computer Programmer Computer Repair Database Management Information </p><p>Management</p><p>Website Design Other: Other: Other: </p><p>BUSINESS & MANAGEMENT SKILLS</p><p>Board Management Bookkeeping Committee Management Event Planning</p><p>Human Resources Legal Services Marketing/ PR Notary Public</p><p>Office Administration Project Management Public Speaking Research </p><p>Sales Social Media Other: Other: </p><p>MISCELLANEOUS SKILLS</p><p>Clowns/Entertainment CPR/First Aid Disc Jockey Languages: Read</p><p>Volunteer Center of South Jersey, 1400 Tanyard Road, Sewell, New Jersey 08080 Phone: (856) 415-9084 . Fax: (856) 415-9085 . Email: [email protected] Website: www.sjvolunteers.org Write</p><p>Languages: Musician Other: Other: Read</p><p>Write</p><p>PROFESSIONAL TRAINING</p><p>Accountant Carpenter Chef Contractor</p><p>Doctor Electrician Lawyer Nurse</p><p>Plumber Teaching Other: Other: </p><p>(Subjects: )</p><p>Please list any additional skills here: You have unlimited space.</p><p>Hobbies/special interests: You have unlimited space.</p><p>Describe your past volunteer experiences: You have unlimited space.</p><p>Do you require any reasonable accommodations that may help you perform your volunteer duties? If so, please list your needs here: You have unlimited space.</p><p>Do you have a valid driver’s license in the state of New Jersey? Y / N </p><p>Are you willing to attend and complete training for the volunteer position in which you are interested? Y / N </p><p>Are you volunteering to meet a school requirement? Y / N </p><p>Have you ever been charged or convicted of a misdemeanor or felony involving domestic violence, assault, theft, arson, embezzlement, abuse of the elderly, abuse of a minor, sexual abuse of a child or adult, sexual assault, stalking, or indecent acts to another human being or animal? Y / N Are you volunteering to meet a court referral obligation/community service? Y / N </p><p>Any other information you wish to share concerning your desire to volunteer: You have unlimited space.</p><p>Volunteer Center of South Jersey, 1400 Tanyard Road, Sewell, New Jersey 08080 Phone: (856) 415-9084 . Fax: (856) 415-9085 . Email: [email protected] Website: www.sjvolunteers.org For the purposes of my referral as a volunteer to an agency or organization, I authorize the Volunteer Center of South Jersey to verify any of the above-specified information and/or release the information to the agency or organization to which the Volunteer Center of South Jersey refers me.</p><p>Electronic Signature: Date: </p><p>Electronic Signature of parent or guardian (if minor): Date: </p><p>Street address of parent or guardian: </p><p>City: State: ZIP: </p><p>Phone number of parent or guardian: </p><p>Volunteer Center of South Jersey, 1400 Tanyard Road, Sewell, New Jersey 08080 Phone: (856) 415-9084 . Fax: (856) 415-9085 . Email: [email protected] Website: www.sjvolunteers.org</p>