Please complete this application form if you are interested in becoming a La Puente Home Inc. volunteer. Once you complete the form, click the submit button at the bottom.

Name and address


Communication Preferences

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


Assignment Preference


Availability

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


Are you 15 years old or older?

Volunteers under 15 will need to be accompanied by an adult.


Mandated Service

Please indicate if you are completing mandatory service hours. If yes, select all options that apply.


Criminal Offense

Have you ever been convicted of a criminal offense? If yes, please explain.


Pictures

Please Indicate "yes" or "no" if La Puente Home Inc. can use pictures that may be taken of you for promotional purposes.


Emergency Contact

Please enter someone that we can contact in the case of an emergency.


Special Skills

Please check any skills that you have.


Volunteer Waiver Form

I certify that the information provided in this application is correct and complete. Furthermore, I understand that La Puente will not be held liable for any injury or illness that I, or my dependent(s), may suffer. I waive any such claim for compensation from this organization in the event of such injury.