Volunteer Registration Form

We are excited you are looking at CES for your volunteer experience. Please complete this form to start the process. All items with an asterisk (*) are required fields.

A CES staff member will be in touch with you to discuss next steps. If you have any questions, contact our Volunteer Department at 612-870-1125.

APPLICANT INFORMATION

First name:

Last name:

Title:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

Email address:

DEMOGRAPHICS

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers and for grant funding.

Gender:

Ethnicity:

Marital status:

PERSON TO NOTIFY IN CASE OF EMERGENCY

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

HOW DID YOU LEARN ABOUT CES?

Please share with us how you learned about CES and indicate if you are affiliated with a specific church, volunteer group or employer.

Referral Source:

Affiliation:

TELL US ABOUT YOURSELF

Use this section to tell us about yourself and why you are choosing CES for your volunteer experience.

AVAILABILITY

Please indicate the days and times you are usually available to volunteer.

SKILLS & INTEREST

Please indicate any special skills, hobbies, interests, or abilities that you have (i.e. sewing, musical talents, fluent in Spanish)

ASSIGNMENT PREFERENCE

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.

* Assignment Preference:

1st choice:

2nd choice:

3rd choice:

4th choice:

EMPLOYER

Please list your current or most recent employer. This information is helpful as many employers sponsor matching gift programs for dollars donated or volunteer hours provided.

Employer name:

City:

State:

Zip:

EDUCATION

If you are a current student, please indicate the school you are attending.

Education Level:

School:

BACKGROUND CHECK INFORMATION

A background screening is completed on each candidate. Please provide the following information. Note this information is not used for any other purpose.

Date of birth:

COMMUNICATION

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

I Agree

I understand and agree that submitting this application form does not automatically register me as a Community Emergency Service volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree