Prefilled Section - Hidden

Shift Id

Job Id

Group Id (Acct)

Prefilled?

Yes

Thank you for your interest in becoming a Metrocrest Services Volunteer!! Volunteers are essential to fulfilling our agency's mission.

Volunteer Application

Group Name:

First Name

Last Name

Birthdate

Preferred Name

Personal Email

Mobile Phone

Mailing Street

Mailing City

Mailing State

Mailing Zip/Postal Code

Volunteer Information

Are you bilingual in any of the following languages (check all that apply)

SpanishKoreanVietnamese

Are you serving hours for school requirement?

YesNo

School Name

Please note: Volunteers with theft, physical violence, and sexually related offenses are not accepted. Felonies are examined and accepted on a case-by-case basis.

Are you serving hours for a community service/probation requirement?

YesNo

Please note: Volunteers with theft, physical violence, and sexually related offenses are not accepted. Felonies are examined and accepted on a case-by-case basis.

Community Service/Probation Hours To Be Served

Community Service/Probation Type

AdultJuvenile

Community Service/Probation Offense:

Community Service/Probation Officer/Judge Name

Community Service/Probation Officer/Judge Phone

Community Service/Probation Volunteering Referred By

Community Service/Probation Volunteering Referred By Other

Are you a Military Veteran?

Yes

Prefer Not to Say

Veteran Status

I am a protected veteranI am NOT a protected veteranI do not wish to self-identifyN/A

Employment

Are you currently employed?

YesNo

Employer

Job Title

Does your employer offer paid time off to volunteer?

YesNo

Does your employer offer a donation matching program?

YesNo

Emergency Contact

Primary Emergency Contact Full Name

Primary Emergency Contact Phone

Primary Emergency Contact Relationship

Secondary Emergency Contact Full Name

Secondary Emergency Contact Phone

Secondary Emergency Contact Relationship

Availability

Please review the Volunteer Terms and Conditions prior to submitting your application.

I agree to Metrocrest's Volunteer Terms & Conditions

Verify that your email was entered correctly then click submit