July 26, 2016

Volunteer App



Form submission

Date:

First Name:

Last Name:

Email:

Which of the Following are you most interested in?
Information/Recruitment
Fundraising Coordinator
Special Events Coordinator
Administrative/Customer Service
Field Work (including local and international installation projects)
Other

Please list any experience (job, volunteer, etc.) you have regarding your above selection:
1)**
2)
3)
4)
5)

Do you speak any other languages?

What is your availability?
1/week
1/month
Other

When are you most available for Volunteering?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Based on your above selection, please describe your availability (Morning, evening, all day etc), ie Monday Afternoon and Tuesday all day.

Do you have a current driver’s license?
Yes
No

Do you have valid insurance?
Yes
No

Are you willing to use your vehicle for local events and transportation related volunteering opportunities?
Yes
No

How did you hear about us?
Website
Online Search
Advertisement
Newspaper
Event
Friend: Type Name

Other

Please provide references (Name, Relationship to you, email/phone number):
1)**
2)
3)

*Please type a brief cover letter (No resume required), describing your interest in volunteering for the organization*

* Also briefly disclose any criminal history. If you have been convicted of a crime explain the nature, date of conviction, and disposition (conviction is not automatically an ineligibility of volunteer work). Also include anything else you would like us to know*

Personal Consent:
I certify that I have and will provide truthful, accurate, correct, and complete information throughout the application process and throughout my volunteering interaction with H2O 4 All, to the best of my knowledge and ability. I certify that I have not withheld, nor will withhold information during the application process and throughout my interaction with H2O 4 All to the best of my knowledge and ability, that will unfavourably affect my application for a volunteering position. I consent to the release of photographs and any media form in which I am interacting with H2O 4 All as a volunteer only during projects, events, and meetings. I understand that H2O 4 All will verify my information. I understand that misrepresentations and omissions may be cause for my immediate termination as a volunteer.
Initials
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Date
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