Restoration Volunteer Application

Your Information

Name *
Prefix
First *
Last *
Suffix
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number

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If you are under the age of 18? *
 Yes 
 No 
If yes, what is your age and will your parent or guardian be accompanying you? (If not, it is okay we just need to plan for the number of adults needed)

Desired Volunteer Opportunity - Please apply even if you can only commit 1hr / wk.

Please choose from the opportunities or companies below. If you do not see what you are looking for, simply type the kind of volunteer work you are looking for and we will find you something that fits your interests...

Restoration:

12 Step / Self Improvement Coordinator, Accountant / Treasurer, Administrative Assistant, Baby / Child Donations Director, Board Member, Church PR Director, Counseling / Psychology Director, Donation Coordinator (goods), Donation Coordinator (monetary), Editor, Employment Services Director, Events Coordinator, Family Mediation Coordinator, Financial Counseling Director, Hospital - Patient Advocate Director, HR Director, Marketing Coordinator, Restoration Team Director, Online Thrift Store Developer / Coordinator, Restoration Team Captains (small group leaders), Retirement Community / Nursing Home Placement Coordinator, Teen Pregnancy Awareness & Abortion Alternatives Coordinator

(Most of the above positions are Coordinator / Director Positions. However if you are interested in serving as a Team Member in one of these departments, rather than in management, just indicate that in the field below.)

Other Companies (More to Come):

U.S.A. - Carrie Underwood & Habitat for Humanity

Phoenix, AZ: Family Promise Greater Phoenix, Girls on the Run, Hands on Greater Phoenix, Military Family Support Group, Phoenix Children's Hospital, Phoenix Permaculture Guild, Phoenix Philanthropists, Sun Valley Home Care & Hospice, The Neighborhood Christian Clinic, Various Medical Opportunities for High School Students.

Rochester, NY: Grace Urban Ministries, SuperiorJobs.com, YMCA
Opportunity 1
Opportunity 2
Opportunity 3
Opportunity 4
Opportunity 5
Days Available *
 Monday 
 Tuesday 
 Wednesday 
 Thursday 
 Friday 
 Saturday 
 Sunday 
 Any 
Availability *
 AM 
 PM 
 Overnight 
 Travel Okay 
 Anytime / Local Only 
 Anytime / Anywhere 
For more specific Day/Hour availability, please enter information below.
What date are you available to start? *

MM		/
DD		/
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Previous Volunteer Experience

Please list any previous experience you may have had. Either, one time or ongoing is fine.
Name and Phone Number Of Organization and Leader of project that you worked on...
Please list any other skills, attributes, desires, or qualifications that make you an excellent fit for this opportunity.
Available References (Friends & Family Okay):
Name, Phone, E-Mail Address

THREE REFERENCES ARE REQUIRED TO SUBMIT

Reference 1: *
Reference 2: *
Reference 3: *

I certify that information contained in this application is true and complete. I understand that false information may be grounds for dismissal as a Restoration Volunteer at any point in the future. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions? *
 Yes, I agree. 
Initial *
Date *

MM		/
DD		/
YYYY
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