Volunteer Application:

Applicant Information
Name: 
Residential Address: 
Email Address: 
Phone Numbers:  Home:     Cell:     Work: 


Have you ever volunteered with PeakFest before?:      Yes     No
If Yes, briefly explain your participation: 
Date of Birth:   (MM/DD/YY)     Sex:   Male     Female


Emergency Contact
Contact Name: 
Phone Numbers:  Home:     Cell:     Work: 
Relationship: 

Volunteer Experience
Organization Name: 
Duties: 

Volunteer Information
Preferred Service Area: 
Preferred Time: 
Number of Hours Available: 

Skills, Hobbies, Or Special Interests
(Please list your interests and skills so that we may place you in a volunteer position where we can utilize these effectively)
 

Health Concerns
(Please List any Health Conditions which may prevent you from performing any volunteer work or responsibilities)
 


Have you ever been convicted or pled guilty to a felony or misdimeanor?     Yes     No
  (if yes please explain, *An affirmative response will not automatically disqualify you from being considered)

School Program
If you are working with a school program or group for credit please provide the following information:
Organization/Group: 
Contact Person (professor or teacher): 
School Name: 
School Phone Number: 
Do you need a signed Volunteer Confirmation Form?:      Yes     No


How did you learn about our volunteer oportunities?: