Simpson Housing Services | volunteer application

Standard Volunteer application


Basic Information

First name
Middle name
Last name
Nickname
Gender		Male Female
Street address
Apt #
City
State
Zip
Home phone
Cell phone
Work phone
E-mail
Best way to contact you?
Birth date
Employer

Emergency Contact Information
Emergency contact name
Relationship to you
Emergency contact phone number



Volunteer Position Interest
Please indicate the volunteer position(s) you are interested in:
		Adopt-a-Family
		Adopt-a-student
		Baby Bin Provider
		Birthday Bag Provider
		Children's Activity Assistant
		Children's Activity Coordinator
		Children's Reading Tutor
		Donation Drive Coordinator
		Holiday Food Basket
		Lunch Provider
		Overnight Shelter Volunteer
		Somali Interpreter
		Spanish Interpreter
		Welcome Home Basket Provider


Note: If you are interested in organizing a group to provide a breakfast or dinner meal, please complete the Meal Coordinator Volunteer Application instead. The Meal Coordinator Volunteer Application is required for the following volunteer opportunities: Shelter Breakfast Provider Shelter Evening Meal Provider Youth Group Overnight and Breakfast Provider Family Housing Hot Meal Provider

Experience and Education
Briefly describe previous volunteer experiences (name of organization, time of involvement, type of work):
Have you had any experience working with people in poverty or people experiencing homelessness? Please describe experience if applicable.
Please describe your experience working with people from a variety of cultural backgrounds.
Share your educational background, training, language skills, etc.
What language(s) are you proficient in?
What is your occupation (current or previous)? .

Additional Information
Why do you wish to volunteer with Simpson Housing Services?
How did you hear about us? Please be as specific as possible..
What are your hobbies and interests?
Have you utilized our services (Shelter, Transitional Housing, etc.) in the past?.
Have you ever been convicted of a crime? Please disclose all convictions in the last 10 years, including the year and state of conviction. Some of our positions involve confidential information and contact with vulnerable populations. Having a conviction doesn’t necessarily exclude you from volunteering.
Are you currently attending school?		yes no
If yes, what school are you attending? .
Will you receive academic credit for your volunteer work?		yes no
If yes, how many hours are required?.
When do the hours need to be completed? .
Are you volunteering because of a court order?		yes no
If yes, how many hours are required? .
When do the hours need to be completed? .

References
Please list three persons,not related to you,who would have knowledge of your qualifications to volunteer.
Full Name
Relationship
Phone

Full Name
Relationship
Phone

Full Name
Relationship
Phone

By submitting your application, you agree to the following: I certify that my answers are true and complete and I understand that if they are not, I am disqualifying myself for a volunteer position. I also understand that I am applying for a volunteer position and that this is not an application for, or a contact of, employment. I authorize the above references to give Simpson Housing Services any pertinent information they may have and authorize investigation of all statements contained in this application.

Current Volunteer Schedules

Standard Volunteer Application

Meal Coordinator Application

Volunteer Profiles

Tracy overnights in the shelter
The Burkhardts volunteer as a family
Board member Ben Reed
Furnishing homes for families

Volunteer FAQ

Menu and Recipe Ideas

Standard Volunteer application

Basic Information

Emergency Contact Information

Volunteer Position Interest

Experience and Education

Additional Information

References