HEP-Volunteer-Application

HEP Volunteer Application

Contact Info

Individual

Business

First Name*

Last Name*

Email*

Phone

Ext

Work
Mobile
Home

Address Line 1

Address Line 2

City

State/Province

Postal Code

Country *

Options

Public Message of Support

Additional Information for Your Volunteer Position(s)

1 X HEP Volunteer Application

EDUCATION

Highest Level of Education

EMPLOYMENT

Current Employer, if applicable:

Position/Title

Dates of Employment (starting, ending)

Company/Employer

Address

SKILLS & EXPERIENCE

Special training, skills, hobbies

Groups, clubs, organizational memberships

Please describe your prior volunteer experience (include organization names and dates of service)

Why do you want to volunteer? [Or, What do you want to gain from this volunteer experience?]

Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction and disposition.] Conviction of a crime is not an automatic disqualification for volunteer work.

REFERENCES

Please list three people who know you well and can attest to your character, skills, and dependability. Include your current or last employer.

Name/Organization:

Relationship to you

Length of relationship

Phone number

Name/Organization

Relationship to you

Length of relationship

Phone number 2

Name/Organization

Relationship to you

Length of relationship

Phone number

Read and Sign Waiver

I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with the Haitian Education Project, Inc. that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by the Haitian Education Project, Inc. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position or my termination as a volunteer with the Haitian Education Project, Inc.

I am over 18 or the legal guardian of the participant above and I accept the terms of the waiver.

Your birthdate

IP: 18.97.14.87
Jan. 23, 2025

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