Volunteer Application – Miracle of Love Inc.

Name

First

Last

Date of Birth

Are you at least 18 years of age?

Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone (Mobile)

Phone (Home)

Emergency Contact

Name

First

Last

Relationship

Phone

Education

Please list any special certifications or training you have had

Highest Level of Education Completed

Have you ever been convicted (found guilty) of a crime, or do you have any pending criminal charges awaiting hearing?

Previous Volunteer Agency

Position

Start Date

Previous Volunteer Agency

Position

Are you required to volunteer?

Are you applying to volunteer for an event?

What attracted you to this volunteer program? Is there an aspect within the program that motivates you to be a part of this program?

What would you like to get out of your volunteer experience/internship? What would make you feel like you have been successful?

Describe your ideal supervisor. What sort of supervisory style do you prefer to work?

What skills and qualities do you feel you have to contribute to Miracle of Love?

Are you willing to commit to the requirements of the volunteer program?

Updating preview…

I certify all information is true and has been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest. I release the agency from any liability whatsoever for supplying such information.

I certify

I understand that I must be 18 years of age to volunteer at Miracle of Love and if I am under that age of 18 years of age and/or attending high school, I will need parental consent.

I understand