Volunteer Application

Personal Information

First Name

Last Name

Email

Preferred Phone

Othe Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Type of volunteer opportunity of interest

Group

Individual

Group opportunity you are seeking

Group — Fundraiser

Group — Donation Drive

Group — Volunteer Project

Group — Provide Dinner

Group — Drop-Off Lunch

Individual opportunity you are seeking

Individual — Youth Shelter

Individual — Drop-In Center

Individual — Provide Lunch or Dinner

Individual — Other

Please specify the other opportunity you are seeking

Volunteer Information

Organization Name

Event Date(s)

Event Time

Event Location

Tell us about the event you're planning

Describe your donation drive

Will there be any revenue associated with this drive?

Yes

No

How will the revenue be generated?

Anticipated total revenue

Goal number of items collected

Specify other type of items collected

Is this a part of a specific campaign or program?

Volunteer Date(s)

Dates of interest

Volunteer Time(s)

How many volunteers will you have in your group?

Specify other project type

Is there anything else you want to share about your group or abilities?

What kind of promotion will you be doing?

Website link

What support do you need from Pathfinders?

Will donation items need to be picked up or will you be dropping them off at Pathfinders?

Will there be an admission fee?

Yes

No

What is the price of admission?

Will a percentage of the admission fee be donated to Pathfinders?

Will this event generate revenue in other ways?

Yes

No

Anticipated other revenue

Will a percentage of this revenue be donated to Pathfinders?

What is the total anticipated revenue for this event?

What are the total estimated expenses for this event?

What is the total anticipated donation to Pathfinders from this event?

Interested in providing

Lunch

Dinner

Either

Dates available to drop lunch (Tuesday/Thursday Only)

Dates available to drop dinner (Wednesday/Friday Only)

Education Information

Highest level of education completed

List any degrees earned

Are you seeking an internship placement for class credit?

Yes

No

Current place of enrollment

Current program

Hours needed per week and/or semester

Please list any licenses and certifications

Please list any languages spoken other than English

Employment Information

Current Employer

Current Position

Current Employer

Current Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Current Supervisor

Current Supervisor Phone

Current Supervisor Email

Volunteer History

Describe any experience you have working with youth aged 11-25 or any vulnerable populations

Describe any past volunteer experience that you have

Availability

How many shifts are you willing to work per week?

How many hours do you need to complete per week/per semester?

Work Reference

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Relationship

Phone

Email

Personal or Professional Reference 1

Name

Relationship

Phone

Email

Personal or Professional Reference 2

Name

Relationship

Phone

Email

Emergency Contact

Name

Relationship

Phone

Emergency Contact's Address

Address Line 1

Address Line 2

City

State

Zip Code

I certify that all information provided in this application is true to the best of my knowledge.

I consent to having this website store my submitted information so Pathfinders can respond to my application.

Signature

Sign Here

Today's Date

	8:30am-1:30pm	1:30pm-6pm	6pm-10:30pm	10:30pm-8:30am
Sun
Mon
Tue
Wed
Thur
Fri
Sat

	Morning	Afternoon	Evening
Sun
Mon
Tue
Wed
Thur
Fri
Sat

Volunteer Application

Personal Information

Volunteer Information

Education Information

Employment Information

Current Employer

Volunteer History

Availability

Work Reference

Personal or Professional Reference 1

Personal or Professional Reference 2

Emergency Contact

Get Involved

Get Informed

Donation Drop-offs

Sign Up for Our Newsletter

Receive stories about our youth, Pathfinders updates, and more.

Success!

Main Office & Southeastern Education Center

Youth Shelter

In Crisis?

General Questions?

CCS Referrals