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

Volunteer Application

First Name

Last Name

Birthdate

Preferred Name

Personal Email

Mobile Phone

Home Phone

Work Phone

Preferred Phone

MobileHomeWork

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

Do you have any medical issues that would affect duties?

YesNo

Please describe your medical issue:

Volunteer Type

IndividualGroup

Group Name:

Have you volunteered with us before?

YesNo

Thank you! When was your first year volunteering?

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 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.

Probation Hours To Be Served

Probation Type

AdultJuvenile

Probation Offense:

Probation Officer/Judge Name

Probation Officer/Judge Phone

Probation Volunteering Referred By

Probation Volunteering Referred By Other

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

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