Volunteer - Adult Application

Volunteer Application

First Name
Contact Information

Last Name

Nickname

Address

City

State

ZIP Code

Home Phone

Work Phone

Cell Phone

Email

Demographic Information
You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
Date of Birth

Age Range*:

What gender pronoun do you prefer?

Employer Name

Work Phone

Emergency Contact Information
This information is confidential and will be used only in the event you require assistance. It will not act as a condition of your acceptance into the volunteer program. In the case of injury, SCRAP has limited liability insurance that covers volunteers.
Emergency Contact Name

Relationship

Home phone

Work Phone

Cell Phone

Medical Information
Do you require any special accommodations in your work area? (If so, please describe)

Do you have any medical conditions we should know about? (If so, please describe)

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

Sunday - AM:

Monday - AM:

Tuesday - AM:

Wednesday - AM:

Thursday - AM:

Friday - AM:

Saturday - AM:


Sunday - PM:

Monday - PM:

Tuesday - PM:

Wednesday - PM:

Thursday - PM:

Friday - PM:

Saturday - PM:

Other Information
How did you hear about SCRAP?

Why would you like to volunteer at SCRAP?

Interests and hobbies (What interests you? What do you like to do?)

Skills (e.g. organizing, people skills, etc.)

Criminal Background Check
While not all volunteers will be asked to have a criminal background check, all volunteer applicants are expected to agree to one. If you have been convicted of a felony, you will not automatically be disqualified from volunteering. However, if you do not disclose it, you will be disqualified. I agree to authorize a Criminal Background Check if I am requested to do so*:
Select:

SCRAP Volunteer Waiver Agreement
I hereby acknowledge that I have read, understand and agree to all of the guidelines and agreements listed in the SCRAP Volunteer Waiver:
Acknowledge: