What area(s) are you interested in applying for?

Direct Service - Saturday Institute MentorDirect Service - College & BeyondFriends of LOV Council

Have you volunteered with LOV in the past?

YesNo

References #1

Please provide 3 references.

Reference #1 - First Name

Reference #1 - Last Name

Reference #1 - Email

Reference #1 - Phone Number

Reference #1 - Affiliation

Reference #2

Reference #2 - First Name

Reference #2 - Last Name

Reference #2 - Email

Reference #2 - Phone Number

Reference #2 - Affiliation

Reference #3

Reference #3 - First Name

Reference #3 - Last Name

Reference #3 - Email

Reference #3 - Phone Number

Reference #3 - Affiliation

Volunteer Agreement

I certify that the information contained herein is correct to the best of my knowledge and understand that falsification of information or omission of significant information may be grounds for dismissal. I authorize the LADIES OF VIRTUE to investigate and verify the information I have submitted on this candidate form. I agree to conform to the rules and regulations of the LADIES OF VIRTUE and acknowledge that these rules and regulations may be changed at any time, at the LADIES OF VIRTUE’s sole option and without prior notice. Volunteer specifically assumes all risks of injury arising out of his or her presence on or about the premises, or his or her use or intended use of the equipment and facilities, or his or her participation in the activities of the LADIES OF VIRTUE, and does hereby for himself or herself, his or her heirs, executors and administrators waive, release and agree to hold free from all claims for damages the LADIES OF VIRTUE and its respective officers, directors, Board of Managers, Trustees, members, employees or agents.

Volunteer Name

Volunteer Initials

Volunteer Conduct, Reporting & Confidentiality Agreement

I have read, understood the Volunteer Conduct, Reporting & Confidentiality Agreement

LOV Code of Conduct

I have read, understood the LOV Code of Conduct

LOV VOLUNTEER APPLICATION