Volunteer Application

Individuals: Please fill out the form below to submit your volunteer application.

For group inquiries, please contact [email protected].

Your Information

First Name *

Middle Name

Last Name *

Preferred Name

Gender *FemaleMaleNon-BinaryOther

PronounsHe/Him/HisOtherShe/Her/HersThey/Them/Theirs

Date of Birth *

Month

Day

Year

Phone Number *

Email Address *

Preferred Method of Contact *Phone CallText MessageEmail

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Emergency Contact Information

First Name *

Last Name *

Relationship *

Phone Number *

Experience

Tell us a little bit about your experience and skills. This information is used to help us get a better idea of your experience.

Employer Name

Position

Education Level

Highschool

College

Major

Minor

Previous or current volunteer experienceIf applicable, please include length of service

Other skills / Certificates / Certifications

Volunteer Availability

How often do you plan on volunteering? What days of the week and times of day are you typically available to volunteer? *

Any physical restrictions or limitations?

Application Questions

Why does volunteering at APC appeal to you? *

What strengths or talents do you feel you would bring to APC? *

What experience do you have working with people of different backgrounds than yourself? *

What experience do you have working with people with phyiscal and/or intellectual disabilities? *

How did you hear about us? / Who referred you?

Volunteer Application Agreement

Please review the following criteria. If you agree and meet the requirements, check the “I Agree” box and click "Submit" to submit your application.

• I understand that I will be required to submit two letters of reference from people not related to me by the time of my interview.

• As a volunteer, I will need to pass background checks, attend required trainings, and orientation, before being eligible to volunteer.

• As a volunteer, I agree to be dependable, reliable and professional.

• I can confirm that I am at least 18 years of age or older, and understand that misrepresenting myself on this application will prohibit me from future acceptance into the program.

• I understand that the skills I have checked off above may or may not be utilized, but if certain assignments request specific skills I may be contacted.

I Agree

Requirements

Must be 18 years of age or older verifiable by government issued photo identification

Complete and submit the Volunteer Application

Pass background check

Complete mandatory training

Volunteer Application