Please complete this form if you are interested in becoming a Community Emergency Service volunteer.
All items with an asterisk (*) are required fields
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.
Please share with us how you learned about CES and indicate if you are affiliated with a specific church, volunteer group or employer.
Please share why you are interested in volunteering with CES.
Please indicate the days and times you are usually available to volunteer.
Please indicate any special skills, hobbies, interests, or abilities that you have (i.e. sewing, musical talents, fluent in Spanish)
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.
Please list your current or most recent employer. This information is helpful as some employers provide matching donations to non-profits.
If you are a current student, please indicate the school you are attending.
A background screening is completed on each candidate. Please provide the following information. Please note this information is not used for any other purpose.
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.
Volgistics Volunteer Alerts sends reminders, alerts, and custom messages from System Operators and
Coordinators. Use this section to opt-in and opt-out of text messaging (also known as "SMS"),
and initially set how you would like to receive messages. Your messages can be delivered as emails,
text messages, or none. You can change this at any time through VicNet. View supported phone carriers.
Message and Data Rates May Apply. For help or information on this program send "HELP" to 28344.
You can send "STOP" to 28344 at any time to opt out. For additional assistance, call 888-891-6978 or
Message frequency based on account settings.
Messages are not guaranteed to be delivered. All messages will be sent by email until you respond "YES"
to the welcome text message sent after the application form is submitted. Message preferences
can be changed in VicNet on the Account tab.
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.