Please complete this application form if you are interested in becoming a Brethren Village volunteer. Once you complete the form, click the Continue button at the bottom.

Name and address

Demographic Information

I want to volunteer at Brethren Village because...


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

Skills, Interests and Experience


Please list a friend, leader, mentor, recent employer, or other non-family member who can speak to your character and responsibility.

Volunteer Experience

Work Experience

Please list your most recent Work Experience.

Emergency Contact

Please list the name of your Emergency Contact.

Privacy Statement

Brethren Village requires the above information to process your volunteer application. Your information will be distributed to and used by Brethren Village for contact and volunteering information and for statistical records. Your application will be kept on file for three years after you cease to volunteer unless you request otherwise. Brethren Village may conduct a background check and contact all references listed on this application. The information on this application is accurate and complete and I consent to the release, use and storage of this information as outlined above. I understand that I am volunteering for an unpaid position and the success of my application is dependent upon the outcome of my background check, FBI fingerprinting check if I have not lived in PA for the last 2 consecutive years, reference checks and my suitability for the position.