Pathway to Hope Volunteer Application

THANK YOU for your interest in Pathway to Hope! Please complete this Interest Gathering Form form if you are interested in becoming a volunteer. You may scroll down to the ASSIGNMENT PREFERENCE section to get detailed information about our volunteer opportunities. Once you complete the form, click the Continue button at the bottom.

Contact Information

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Cell phone:

Email address:

Date of birth:

Gender:

Education:

Marital status:

Current or Last School Attended:

Spouse's name:

Ages of Children:

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

Employment / Volunteer History

Please list your current or most recent employer/volunteer experience.

1

2

Employer name:

Street 1:

Street 2:

City:

State:

Zip:

Work phone:

Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment.

*Additional application will be provided to you if this is your area of interest.

**Life Advocates are asked to commit to 4 hours each week on a recurring schedule – additional application will be provided to you if this is your area of interest.

Availability

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

I Agree

I understand and agree that submitting this application form does not automatically register me as a Pathway to Hope volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

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

I Agree