Please complete this application form if you are interested in becoming a Goodwill of the Finger Lakes volunteer. Once you complete the form, click the Continue button at the bottom to submit.

Personal Information

First name:

Last name:

Title:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

OK to call me here

Email address:

Date of birth:

Employment History

Employment Status:

Please provide the name of your current employer(if currently employed) or if you are retired, please list your previous employer.

Education Background

Please choose your highest degree from the list

Education:

Name of High School:

Name of College(s):

Required Volunteerism

Are you required to volunteer for an outside program (example: community service, court ordered community service, high school, transitional programs)

Yes or No:

If yes, What is the name of the program:

Volunteer Experience

Please list your previous volunteer experience

Volunteer position interests

Please tell us which volunteer position(s) you are interested in. If more than one, please separate with a comma.

How did you hear about our Volunteer Opportunities

Emergency Contact

First name:

Last name:

Home phone:

Cell phone:

Email address:

Relationship:

References

1

2

First name:

Last name:

Home phone:

Email address:

Relationship:

Contact

Do you agree that Goodwill of the Finger Lakes can contact you?

I Agree