Volunteer Application Thanks for taking the time to contact us. Use the form below to receive more information about how to get involved. We will respond to all inquiries in a timely manner. Feel free to call us at (415) 514-6663. Thank you for your support! If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Personal Info First Name * Last Name * Email * Phone * Phone Type * Cell Work Home Address 1 * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * About You Birthdate * Number of Years You Have Lived in CA * Employment Status * Employed Full Time Employed Part Time Student Other Employer/School Have you ever pled guilty or no contest, or have you ever been convicted of a crime involving theft, sexual misconduct or violence? * Yes No Volunteer Information How did you hear about Family House? * Why do you want to volunteer at Family House? * Do you have any previous volunteer experience? (If yes, please describe.) * Do you speak a foreign language? Which? SpanishArabicCantoneseMandarinRussianTagalogOther What areas are you interested in? Baking/CookingCommittee WorkComputer WorkDirect Assistance to ClientsFundraising SupportGardeningHouse SupportMaintenanceOffice SupportOn Call AssistanceOther What are your hobbies? * Availability Are you willing to make a 3-month commitment to Family House? * YesNo Available Hours Sunday Start Time Sunday End Time Monday Start Time Monday End Time Tuesday Start Time Tuesday End Time Wednesday Start Time Wednesday End Time Thursday Start Time Thursday End Time Friday Start Time Friday End Time Saturday Start Time Saturday End Time Please list two people who will give a character reference for you Reference #1 Name * Reference #1 Phone * Your Relationship to Reference #1 * How Long Have Your Known Reference #1? * Reference #2 Name * Reference #2 Phone * Your Relationship to Reference #2? * How Long Have You Known Reference #2? * Emergency Contact Emergency Contact Name * Emergency Contact Phone Number * Your Relationship to Emergency Contact * Anything else to add?