Application for Individual Volunteers

Todays Date:________ First Name:_________________M.I.____Last Name_____________________ Address:_________________City:______________St:________Zip:_______ Primary Phone:____________Email Address:___________________________ Gender:________ Marital Status:_________ DOB:__________ Why are you interested in volunteering?_________________________________ Have you had any previous experience as a volunteer? If so, with what organizations, and what kind of work did you do? _______________________________________________ Church Affiliation:____________________________________________________

Volunteer Skills: Please circle the skills below that you are willing to share with Freedom House
Administrative: Computer Services Data Entry Donation Sorting Telephone/Filing Design/Display After Care: Guardian Angel Marketing: Graphic Design Photography/Video Writing/Editing Maintenance: Carpentry/Electrician Garden/Lawn/Yard Care Handy Work/Custodial Painting/Wallpapering Plumbing Snow Shoveling General Cleaning Food Preparation: Meal Preparation Pantry work Education: Career Development Computer Literacy Tutoring Child Care Recreational Activities: Arts/Crafts Hairdressing/Nail Care Other:

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How long can you commit to volunteering? ___ One time ___Occasionally ___3-6 months ___6 months or more Other___________________ What days are you available? ___ Mondays ___Fridays ___Saturdays ___Sundays

___Tuesdays ___Wednesdays ___Thursdays

What times are you available? ___Mornings ___Afternoons ___Evenings Date you can begin service?______________________________

Confidential Information:
This portion of the information sheet is considered confidential and is to be used only by the volunteer program director. The information is taken by all applicants involved in any of the supervision of minors. It is used to assist Freedom House in providing a safe environment for children while in our facility. Background checks are done on all volunteers.

Criminal History: All volunteer positions require a Criminal History check. Conviction will not necessarily disqualify you from participating. Have you ever been convicted of a felony? ___ Yes ___No If yes, explain: ______________________________________________________

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Volunteer I.D. Policy
Upon start date approval, each volunteer will be given a Volunteer Identification card. This card will need to be shown to the Receptionist or House Supervisor when you sign in each time. The card will be held up front, and given back when you sign out. This card will be required of you when you volunteer, for the safety and security of yourself and others in our facility.

The information contained in this form is correct to the best of my knowledge. I authorize any reference checks to be made and understand that a background check will be processed.

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Signature

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Date

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Signature of Parent or Guardian if under 18
For General Volunteering applications: Freedom House Ministries Attn: Amber Yahnke 2997 St. Anthony Drive Green Bay, WI 54311 Phone: (920) 432-4646 Fax: (920) 432-2046 Email: amberyahnke@freedomhouseministries.org

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Date
For Aftercare/Guardian Angel applications: Freedom House Ministries Attn: Heather Faulkner 2997 St. Anthony Drive Green Bay, WI 54311 Phone: (920) 432-4646 Fax: (920) 432-2046 Email: heatherfaulkner@freedomhouseministries.org