Volunteer Application You must have JavaScript enabled to use this form. We appreciate your interest in volunteering at Brook Lane. Please complete the following information regarding your background and work history to help us place you in a volunteer role that best meets your qualifications. Personal First Name: Middle Initial: Last Name: Present Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Email: Sex: Male Female Age (if under 18): Why are you interested in becoming a volunteer at Brook Lane? How did you learn about the Brook Lane Volunteer Program? General Information and Volunteer AvailabilityPlease check the area(s) you would like to work: Work Areas Tutoring Arts, crafts, music or sports activities Library assistant Fundraising Event organization Gardening Please list available hours. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Special Skils/Hobbies: Education Education Completed: Grade School High School College Other If Other: Employment History(past employment, internships and/or volunteer experience)Company 1 (Click here to expand) Company Name: Address: City: State: Zip: Telephone: Dates employed: Describe the work you did: Type (Employment, Internship or Volunteering): Company 2 (Click here to expand) Company Name: Address: City: State: Zip: Telephone: Dates employed: Describe the work you did: Type (Employment, Internship or Volunteering): Company 3 (Click here to expand) Company Name: Address: City: State: Zip: Telephone: Dates employed: Describe the work you did: Type (Employment, Internship or Volunteering): May we contact the employers above? Yes No If not, indicate which one(s) you do not wish us to contact? References(Please do not use relatives)Reference 1 (Click here to expand) Name: Address: City: State: Zip: Telephone: Email: Reference 2 (Click here to expand) Name: Address: City: State: Zip: Telephone: Email: Reference 3 (Click here to expand) Name: Address: City: State: Zip: Telephone: Email: Applicant's Statement & Signature: I give Brook Lane permission to investigate any and all information concerning my application in order to determine my qualifications. This includes, but is not limited to TB testing, criminal background, employment, and personal reference checks. Some placements may require a drug test. I understand any misrepresentation of facts contained in this application may be cause for my rejection or dismissal. I agree to be photographed by Brook Lane. I agree to abide by all Brook Lane policies and regulations. I understand that this application and any other such documents are not contracts of employment, and that any volunteer who is placed may voluntarily leave, and/or may be dismissed by Brook Lane at any time for any reason. In the event of resignation or dismissal, I agree to return all Brook Lane property loaned to me. Entering my name in the field below indicates that I have read, understood, and consented to the above statements. This authorization or photocopy shall serve as consent for Brook Lane to request any information concerning my application. Agree I have read and agree to the terms above (required for submission) Name:
You must have JavaScript enabled to use this form. We appreciate your interest in volunteering at Brook Lane. Please complete the following information regarding your background and work history to help us place you in a volunteer role that best meets your qualifications. Personal First Name: Middle Initial: Last Name: Present Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Email: Sex: Male Female Age (if under 18): Why are you interested in becoming a volunteer at Brook Lane? How did you learn about the Brook Lane Volunteer Program? General Information and Volunteer AvailabilityPlease check the area(s) you would like to work: Work Areas Tutoring Arts, crafts, music or sports activities Library assistant Fundraising Event organization Gardening Please list available hours. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Special Skils/Hobbies: Education Education Completed: Grade School High School College Other If Other: Employment History(past employment, internships and/or volunteer experience)Company 1 (Click here to expand) Company Name: Address: City: State: Zip: Telephone: Dates employed: Describe the work you did: Type (Employment, Internship or Volunteering): Company 2 (Click here to expand) Company Name: Address: City: State: Zip: Telephone: Dates employed: Describe the work you did: Type (Employment, Internship or Volunteering): Company 3 (Click here to expand) Company Name: Address: City: State: Zip: Telephone: Dates employed: Describe the work you did: Type (Employment, Internship or Volunteering): May we contact the employers above? Yes No If not, indicate which one(s) you do not wish us to contact? References(Please do not use relatives)Reference 1 (Click here to expand) Name: Address: City: State: Zip: Telephone: Email: Reference 2 (Click here to expand) Name: Address: City: State: Zip: Telephone: Email: Reference 3 (Click here to expand) Name: Address: City: State: Zip: Telephone: Email: Applicant's Statement & Signature: I give Brook Lane permission to investigate any and all information concerning my application in order to determine my qualifications. This includes, but is not limited to TB testing, criminal background, employment, and personal reference checks. Some placements may require a drug test. I understand any misrepresentation of facts contained in this application may be cause for my rejection or dismissal. I agree to be photographed by Brook Lane. I agree to abide by all Brook Lane policies and regulations. I understand that this application and any other such documents are not contracts of employment, and that any volunteer who is placed may voluntarily leave, and/or may be dismissed by Brook Lane at any time for any reason. In the event of resignation or dismissal, I agree to return all Brook Lane property loaned to me. Entering my name in the field below indicates that I have read, understood, and consented to the above statements. This authorization or photocopy shall serve as consent for Brook Lane to request any information concerning my application. Agree I have read and agree to the terms above (required for submission) Name:
