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

Contact Information

First name:

Last name:

Title:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

Email address:

Date of birth:

Gender:

Education:

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

Relationship:

Availability

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

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

Please explain why you are interested in volunteering at Peace Village.

Background Check

Peace village requires background checks for all of our non- resident volunteers age 18 years or older.

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

Volunteer Interests

Please indicate any skills, talents or knowledge that you wish to share with us.

Volunteer Agreement

I understand that Peace Village requires completion of a minimum of 12 volunteer hours in order to receive professional references or service hour letters.

I understand that I am required to complete a background check prior to beginning volunteering.

I will adhere to the required business casual dress code.

I will adhere to all conduct policies and guidelines presented in the volunteer handbook.

I will consider all information which I may hear directly or indirectly concerning a resident as confidential.

I will take any problems, criticisms or suggestions to the Volunteer Coordinator.

I will notify the Volunteer Coordinator if I am unable to be present for my shift.

I will observe the mission of Peace Village, " We love and honor our residents every day."

I understand that I am applying for an unpaid position as a volunteer with no expectation of compensation and that this application is not a contract or an offer of a volunteer position.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree