Volunteer Application

"*" indicates required fields

GENERAL INFORMATION

Gender*
U.S. Citizen*
(Required for volunteers from outside US)
Address*
Do you own a car?
Are you a licensed driver?
Do you have current auto insurance?
(If so, please email copies of your current driver’s license and insurance to cbach@poorhandmaids.org.)

EDUCATION

(Please send a PDF file of your resume, including references and transcripts for degrees conferred to cbach@poorhandmaids.org.)

EMPLOYMENT HISTORY

List your past three employers beginning with the most current

HEALTH INFORMATION

EMERGENCY CONTACTS

PERSONAL INFORMATION

8. Do you speak another language?*
Are you currently seeking placement with other volunteer organizations?*
22. What length of time do you wish to volunteer?*
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24. Please send a current photograph to cbach@poorhandmaids.org

25. Please write a mini-autobiography in response to the following question(s). Responses can be as long or short as you would like, but it is our intention to let these assist us in getting to know you.

Rating Scale

Please rate yourself on the following scale. Be as honest as possible, again to help us to get to know you better and find the right placement for you.

WORK A FULL DAY*
WALK LONG DISTANCES*
TOLERATE DIETARY CHANGES*
DISPLAY FLEXIBILITY WITH SCHEDULES/PLANNING*
ADAPT TO DIFFERENT CULTURES*
FIND HUMOR IN DIFFICULT SITUATIONS*
RELATE TO PEOPLE WHO ARE VERY POOR*
LIVE A SIMPLE LIFESTYLE*
BE A SELF-STARTER/INITIATOR*
DEMONSTRATE TIME MANAGEMENT*
ACCEPT FEEDBACK IN A POSITIVE MANNER*
GIVE FEEDBACK IN A POSITIVE MANNER*
WORK AS A TEAM MEMBER*
BE CULTURALLY SENSITIVE*
GET ALONG WITH OTHERS*
COLLABORATE/COOPERATE ON A PROJECT*
HANDLE DIFFICULT SITUATIONS*
TOLERATE DIFFERENCES*
WORK WITH THE GENERAL PUBLIC*
HEAR DIVERSE PERSPECTIVES*
PARTICIPATE IN GROUP ACTIVITIES*
LEAD GROUP ACTIVITIES
SHARE FAITH/PRAY WITH A GROUP*
26. Are you willing to undergo a background check?*
27. Are you willing to undergo a drug test?*
28. Are you willing to undergo fingerprinting?*

I attest that all information contained in this application is true to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification for refusal of acceptance or continuation in the program. In submitting this application I understand and agree that all materials become property of the PHJC Volunteer Program and that none of the materials will be returned to me. I also understand that my resume and all references will be reviewed by the partner agency(ies) for which I am being considered.

**Application process does not guarantee acceptance into the program.

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