Volunteer Follow Up Application

Volunteer Application

Name *

First

Last

Date of Birth *

Phone Number *

Email *

Which agency are you volunteering for?

List an Emergency Contact *

First

Last

Emergency Contact's Phone Number *

Volunteer Availability

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Check all that apply

Time of Day

Morning
Afternoon
Evening

Check all that apply

Please list your previous volunteer experience. Include the organization names, positions you held, and/or tasks you performed. *

What are your hobbies, interests, and skills that could be used to help this organization? *

What is your motivation for volunteering for this organization? *

On a scale of 1-10, how outgoing are you?

Selected Value: 1

1 being the least, 10 being the most

Rate your leadership skills on a scale of 1-10

Selected Value: 1

1 being the least, 10 being the most

How creative do you consider yourself to be?

Selected Value: 1

1 being the least, 10 being the most

Reference #1 *

First

Last

Reference #1 Phone Number *

Reference #2

First

Last

Reference #2 Phone Number *

Background Check *

I consent to having a background check.

Please indicate if Align9 may have your permission to use your likeness?

I hereby grant Align9 permission to use my likeness in photograph(s)/video(s) in any and all of its publications or on the world wide web, whether now known or hereafter existing, controlled by Align9 Morgan, Loudon, Meigs counties in perpetuity. I will make no monetary or other claim against Align9 for use of these photograph(s)/video(s).
I do not give permission to use my likeness in photograph(s)/video(s) to Align9.

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Cara Project
CPRS

Building stronger communities through collaboration of government agencies, non-government organizations and faith based communities.

This project is funded under a grant contract with the State of TN department of mental health and substance abuse services

Align9 is committed to ensuring that no person is excluded from participation in, or denied the benefits of its services on the basis of race, color or national origin, as protected by Title VI.