Volunteer Application Name* First Last Do you consent to a security screening? (For on-site volunteers)* Yes No Date of Birth MM slash DD slash YYYY List the state(s) you've lived, worked, or attended school during the last five (5) yearsCell PhoneEmail* Preferred Method of Contact Email Cell Phone Home Phone Work Phone Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you previously volunteered for Fayette Cares? Yes No If yes, in what role?Please select the opportunities that interest you:Annual Homeless County (January TBD)Lethality Assessment Program (LAP) Call SpecialistDomestic Violence Advocacy and EducationShelter Repairs and MaintenanceCharity Thrift Shop SupportOtherOther* Which event(s) are you interested in volunteering for?Plant SaleGolf TournamentForks & Corks5k Run/WalkA Night of Southern Elegance Dinner & AuctionHoliday Food and Toy GivingOtherIf you are completing community service hours please select type:Tennessee Promise ScholarshipChurchSchoolClubEmployerOtherOther Are you interested in volunteering for a one time event or ongoing?*One Time EventOngoingDon’t knowHow many hours per week would you be able to dedicate? 3 hours or less 3 to 5 hours 5 to 10 hours 10 to 20 hours 20 or more hours What days of the week are you available?MondayTuesdayWednesdayThursdayFridaySaturdaySundayHold down the shift button and click days of the week to select multiple days.Please list any relevant experiences you have that you feel would benefit any of the above programs or events.How did you find out about our organization? Friend/Family Business Colleague Church or Community Group Online Search Fayette Cares Event CommentsUntitled First Choice Second Choice Third Choice PhoneThis field is for validation purposes and should be left unchanged.
