Cancer Care Of NCW - Individual Volunteer Application
Fill out this form if you would like to sign up for volunteering as an individual.
Sign in to Google to save your progress. Learn more
Email *
Today's Date
MM
/
DD
/
YYYY
First & Last Name *
Address (Street, City, State, Zip) *
Phone Number (include area code) *
Date Of Birth *
MM
/
DD
/
YYYY
Preferred pronouns
Current Employer (if applicable)
Position (if applicable)
Employer's Phone # (if applicable)
Emergency Contact's Name *
Your Relationship to Emergency Contact *
Emergency Contact's Phone # *
Do you have a valid/current driver's license? *
Are you on Facebook?
If yes, please like Cancer Care Of North Central Washington on Facebook!
Clear selection
Are you fluent in any languages other than English?
Clear selection
If yes, which language(s) do you know?
Do you have any limitations that will restrict your volunteering? *
If yes, please explain:
Have you ever been convicted of a crime? *
If yes, please explain:
Are you willing to submit to a background check? *
If no, please explain:
Why are you interested in volunteering at Cancer Care Of NCW? *
Please explain any previous experiences you may have as a volunteer:
What did you do?  Where?  Number of hours? How long have you been with the organization?
What existing volunteer opportunities are you interested in?
What are you most passionate about? How do you love to spend your time? Tell us which talents and interests you'd most love to share with our guests: *
Please select the days and times you are available to volunteer
Monday *
Required
Tuesday *
Required
Wednesday *
Required
Thursday *
Required
Friday *
Our House closes at noon on Fridays as guests leave to go to their homes over the weekend.  Volunteers can elect do a 2 hour shift between 9am and noon.
Required
I am interested in weekend volunteering for special events *
If maybe, please explain:
How did you learn about Cancer Care Of NCW/Our House? *
Required
If other, please explain where you learned about us:
Do you have any questions for us or is anything else you would like us to know?
The above information is correct and complete, to the best of my knowledge, without consequential omissions of any kind. I authorize Cancer Care Of North Central Washington to release any information requested regarding my employment, character and qualifications. I understand that Cancer Care Of North Central Washington will do a background check with the state of Washington. A false answer to any question on this form may be grounds for not allowing you to volunteer or for dismissing you after you begin your volunteer service. I acknowledge that by completing this application Cancer Care Of North Central Washington is not obligated to offer me a volunteer position.   *
Required
I understand that I will be given a media release form prior to volunteering.   If I agree, sign, and return the form, I hereby give to Cancer Care Of North Central Washington the right to reproduce in any of its printed and online publications (such as newsletters, annual reports, websites, social media posts and blog posts) all pictures that it has produced of myself while volunteering for Cancer Care Of North Central Washington, authorizing them to use all such pictures and duplicates thereof for its publicity purposes and dispose of them as they may see fit. *
Required
Thank you for your interest in volunteering with us!
You should hear back from us in 24-48 hours, unless its a holiday or weekend.  
We will e-mail you the background and media release forms.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of CancerCare Of North Central Washington (Our House). Report Abuse
Google Forms