Volunteer Application Form

Are you a student?*

No
Yes

Medical Information

Does volunteer have any allergies?*

Yes
No

Please list all known allergies*

Does volunteer take any medication?*

Yes
No

Please list all medications taken*

Please list any activities volunteer can not participate in due to medical condition

Please list any additional concerns or information our staff should be aware of to ensure volunteer safety

In a few sentences, why do you want to volunteer at Aishel House?*

How did you hear about Aishel House?*

What do you expect to bring to Aishel House as a volunteer?*

What are you looking to get from your time at Aishel House?*

Reference*

Does Volunteer have a drivers license?*

Yes
No

If you have any hobbies, talents, profession, or expertise you think could be useful, please share them here.*

I want to be part of:*

The best days of the week for me to volunteer are:*

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday

Best time of day to volunteer*

How often would you like to volunteer?*

Do you need volunteer hours to satisfy any "community service" requirements?*

No
Yes

Have you ever been asked to relinquish a volunteer position?*

No
Yes

Please explain*

I have these special skills and interests: (please check all that apply)*

Microsoft Office: Occasional help with survey entry with Word or Excel
Data Entry: Help Maintaining our Database
Graphic Arts: Occasional help with sign, brochures, etc.
Solicitation/Fundraising: Help with procuring supplies, financial help, repairs, etc.
Cooking/Catering: Provide food for events
Translator-Language: Occasional Assistance for non-English speaking guests
Other

Questions or comments?

Consent*

I understand that this is an application for and not a commitment or promise of volunteer opportunity.
•I understand that, if selected, I will have to attend an orientation and training session.
•I certify that all information I provide during the selection process will be true, correct, and complete to the best of my knowledge.
•I understand that information contained on my application may be verified by Aishel House.
•I understand that misrepresentation or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Aishel House or my termination as a volunteer.
•I understand and support the mission of Aishel House and agree that any information I receive, directly or indirectly, regarding any guest, will be kept in strict confidence.
•I hereby authorize a background check to obtain information pertaining to any charges or convictions through local, state, and/or federal sources

I have read and agree to the above terms.*

I have read and agreed to the above background check and ID verification at Aishel House*

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Volunteer Application Form-Full

Step 1 of 2 - Personal Info

Medical Information