Shepherd Center Volunteer Application Form

Please complete this application form if you are interested in becoming a Shepherd Center volunteer.

**Please note that placement availability may vary based on current volunteer enrollment.

Volunteers must be 15 years old to apply (18 years of age for most placement). The deadline to apply for summer volunteering is March 1.

Once you complete the form, click the submit button at the bottom.

Name and address

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Cell phone:

Email address:

Please let us know who referred you:

Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Age:

Gender:

Availability

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

**Please note that placement availability may vary based on current volunteer enrollment.

Email Preferences

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.

What kinds of email would you like to receive?

Electronic newsletters
This includes invitations to and reminders about volunteer orientation and interviews. Please do NOT opt out - otherwise we are unable to contact you.

Recruitment appeals

Emergency Contact

First name:

Last name:

Cell phone:

Relationship: