Volunteer Application Form

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Please fill in as much information as you can in the online application below, as it helps us match you with the most appropriate opportunities. If you prefer to not apply online, please download and complete this Volunteer Application (Word) and email or mail it to The Dragonfly Home’s Volunteer Coordinator at volunteer@thedragonflyhome.org.

PLEASE NOTE: All sections marked with * are required. You may mark sections not applicable to you with N/A.

First Name *

Last Name *

Pronouns *

Examples: She/Her, They/Them, He/Him, etc.

We require volunteers to be at least 18 years of age for most positions. Are you 18 or older? *

Yes

Street Address *

City *

State *

Zip *

My employer matches volunteer hours?

Yes

Clear selection

I'd like to volunteer for school credit.

Yes

Clear selection

E-mail

Preferred Telephone Number *

Please Mark All That Apply

Part Time Employed

Full Time Employed

Retired

Student

None of the above

Employer Name

Your Title/Position

Education (Select Highest Level Completed)

No Formal Education Credential

High school diploma or equivalent

Some college, no degree

Associate's degree

Bachelor's degree

Master's degree

Professional degree

Doctorate

Field of Study/Degree (If Applicable)

Have you ever been convicted of a crime? If yes, please specify. (If you mark "Yes" or "Other" this does not disqualify you.) *

Yes, a misdemeanor

Yes, a felony

Other (Please provide more information below)

If "Yes" or "Other" was selected above, please disclose the charges associated with the conviction. *

Are you currently involved in any criminal proceedings? *

Yes

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