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Woman And Infants
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Woman And Infants

Online Volunteer Application

Volunteer Application Form

Volunteer Interests

We are proud to provide Equal Opportunities to all qualified volunteer applicants irrespective of race, color, national origin, sex, gender identity or expression, religion, age, disability or veteran status.

Please enter your contact, education, volunteer/work history, availability, references and any additional information. Required fields are prefaced with a red asterisk *.
 
*At which affiliate do you want to volunteer?
What program(s) are you interested in? Other  
*Why are you interested in volunteering at this affiliate?
 
*Is this service required?    Yes     No
If required, please explain
 

Contact Information

 
* First Name * Last Name Middle Name
Nickname * Month and Day of Birth
 
* Local Mailing Address Apt/Suite
* City * State * Zip Code
* Home Phone Cell Phone *Email
 
Emergency Contact Information (2 required)
*Name *Relationship *Phone
*Name *Relationship *Phone

Education

Please enter your education information below.
 
High/Prep School or GED
Name Address Number of Years
Highest Grade Completed Graduated Type of Degree
 Yes    No

College/University
Name Address Number of Years
Highest Grade Completed Graduated Type of Degree
 Yes    No

Graduate School
Name Address Number of Years
Highest Grade Completed Graduated Type of Degree
 Yes    No

Business or Vocational School
Name Address Number of Years
Highest Grade Completed Graduated Type of Degree
 Yes    No
 

Other Formal Training
Describe any other skills, experience or qualifications you have

Volunteer/Work History

Please enter your volunteer/work history below.
 
Organization Name
Address Suite
City State Zip Code
From To Position Held
Description of Duties
Reason for Leaving

Organization Name
Address Suite
City State Zip Code
From To Position Held
Description of Duties
Reason for Leaving

Organization Name
Address Suite
City State Zip Code
From To Position Held
Description of Duties
Reason for Leaving

Additional Information

* How did you learn about our volunteer program?  
 
Please select all languages that you speak fluently (Ctrl + click to select more than one).
  
 

Skills
Computer Skills
   Word
   Excel
   PowerPoint
   Other   
Other Skills
Other Hobbies
 

Care New England Questions
*Have you ever volunteered at any Care New England Organization? If yes, please select the affiliate and dates.
 Yes    No
 
 
*Have you ever worked at any Care New England Organization? If yes, please select the affiliate and dates.
 Yes    No
 
 
List the name of any relatives/friends currently employed or volunteering at a CNE Affiliate
Name CNE Affiliate Department/Position

References and Availability

Availability
*How many days per week do you wish to volunteer?   1    2    3
What time of day are you available to volunteer?   Morning    Afternoon    Evening  
What day(s) of the week are you available to volunteer? Mon    Tue    Wed    Thu    Fri    Sat    Sun  
*Are you under the age of 18?   Yes    No
If yes, parental authorization is required. Please complete the Parent/Guardian Consent fields below.
 

 
References
Please list two individual references unrelated to you.
*Name *Occupation/Relationship *Years Known
*Address *Phone Email
*Name *Occupation/Relationship *Years Known
*Address *Phone Email
Volunteer Agreement
*Do you agree to the terms below?   Yes    No
I agree to abide by and observe all rules and regulations and confidentiality requirements as well as the minimum commitment of the CNE affiliate in which I am volunteering.

I hereby certify that the answers given by me to the foregoing questions and the statements made by me are full and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application or any supplements thereto, is cause for rejection of my application or discharge at any time during my volunteer or program commitment. I understand that as a condition I will be required to complete the organization’s pre-volunteer health screening and background checks, including a criminal background check. I understand that any offer of volunteerism is contingent on my producing appropriate documentation verifying my identity. I voluntarily authorize my former employers, schools, and persons named herein to give information regarding me, whether or not such information is part of their records. I hereby release said organizations or persons from any liability or damages whatsoever for issuing this information.
 
Junior Volunteer Agreement Parent/Guardian Consent
I authorize my daughter   son    age  to participate in the Teen Volunteer Program at this CNE affiliate and to engage in such volunteer activities as may be assigned by the Director of Volunteer Services, or a designated representative. I give my permission to the affiliate for the administration of any minor, should it be deemed necessary. I release CNE/ the CNE affiliate from any claim or liability for any injury or illness resulting to said minor, not occasioned by any fault or neglect on the part of the affiliate while participating in such volunteer activities., while participating in such volunteer activities.
 
 Attach Additional Documentation

 
Woman And Infants
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