LINC Housing Corporation

 
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LINC Cares Volunteer Application

Please fill out each area below. Applications will be processed and prospective volunteers should be contacted within the week to schedule an orientation

Personal Data
Legal First Name: *
Nickname:
M.I.:
Legal Last Name: *
Email: *
Primary Phone: *
Street Address:
City:
State:
Zip:
Driver’s License #:
Emergency Contact:
Relationship:
Emergency Phone:

How did you hear about volunteering opportunities at LINC?

Have you volunteered with LINC in the past?   Yes   No
Are you at least 18 years of age?   Yes   No
If not, can you obtain written permission from your parent
or guardian to volunteer?   Yes   No

Do you give permission for LINC to use images captured during LINC activities through video, photo and digital camera to be used for promotional materials and waive your right for compensation or ownership thereto?   Yes   No

Volunteer Opportunities   (Please check all areas of interest)
  Youth Education Volunteer
  Health & Wellbeing Volunteer
  Job Skills Volunteer
  Administrative Volunteer
  Graphic Design Volunteer
  Other    
Availability  (Indicate all available hours, 8:00 AM - 6:00 PM)
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:

At which location(s) do you wish to volunteer?

Are you available to volunteer regularly each week?   Yes   No
How many hours per week do you wish to volunteer?  
Education  (Check box that indicates highest level completed)
High School: 9   10   11   12   GED
Voc./Tech School:
College: 1   2   3   4
Beyond:

From which school or university did you graduate?

What majors or areas of focus did you study?

Employment
Full-Time   Part-Time   Self-Employed

Unemployed   Temporary Position
Current Employer:
Job Title:
Supervisor:
Phone:
Street Address:
City/State/Zip:

Your duties on this job?

May we contact your employer?   Yes   No
References  (Provide three we may contact - at least two should not be relatives)
1. Name:
1. Phone:
1. Relationship:
2. Name:
2. Phone:
2. Relationship:
3. Name:
3. Phone:
3. Relationship:
Additional Information
Can you read, speak, or write any languages other than English?   Yes   No

Which languages?

Level of fluency:   Some   Moderately   Well   Fluently

Describe previous experiences that might contribute to your
success as a volunteer

List any special skills or qualities you have that will apply
to volunteer opportunity

Why are you interested in volunteering with
LINC Housing Corporation?

Background
Have you ever been convicted of a felony or been required to
register as a sex offender?   Yes   No

If yes, please explain:

 
I confirm that the above information is correct. I authorize LINC Housing to investigate all statements contained in this application for the purpose of considering me for a volunteer opportunity. I am offering my services on a volunteer basis and I understand that LINC Housing can terminate the volunteer relationship at any time. I give permission to LINC Housing to conduct a background check of my driving and criminal record.

Check box to agree to terms above
Today’s Date: