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Grace House Volunteer Application
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Birthdate
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MM
/
DD
/
YYYY
Phone
*
Your answer
Email
*
Your answer
How many hours a week are you interested in volunteering with Grace House?
*
Your answer
Are you willing to submit to a background check?
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Yes
No
Have you ever been convicted of a crime?
Your answer
Which days and times would you be interested in?
3p-7p Weeknights
7p-10p Weeknights
Monday
Tuesday
Wednesday
Thursday
Friday
3p-7p Weeknights
7p-10p Weeknights
Monday
Tuesday
Wednesday
Thursday
Friday
Which weekend Shifts would you be interested in?
8a-12p
12p-4p
4p-9p
Saturday
Sunday
8a-12p
12p-4p
4p-9p
Saturday
Sunday
Will your time at Grace House fill any other obligations?
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Yes
No
Are you currently a student?
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Yes
No
If so, where and which program?
Your answer
Describe any volunteer experience you may have.
*
Your answer
Personal Reference: Please list at least two, including name, phone, email, and relationship to you.
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Your answer
Do you verify that all the information that you provided is true, correct, and complete to the best of your knowledge?
*
Yes
No
Do you authorize us to contact your references and perform a background check?
*
Yes
No
Thank you for your interest in volunteering with Grace House! Our Coordinator will reach out to you!
Your answer
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