The Mustard Seed Foundation, Inc.
Volunteer Application Form

Date: [date date date-format:mm/dd/yy]

Primary Organization/Group Name:

Secondary Organization/Group Name:

Name: Birthdate: [date date date-format:mm/dd/yy]

Address:

City: State: Zip:

Tel: Cell: Wk:

Email:

Emergency Contact

Name: Tel:

Emergency Contact Relationship:

 Spouse Parent Sibling Friend Other

Preferred Method of Contact:  Telephone Cellphone (Call/Text) Work E-mail

References:

1. Name: Tel:
   
    Spouse Parent Sibling Friend Other
   
   
   Years Known:

   
   

2. Name: Tel:
   
    Spouse Parent Sibling Friend Other
   
   
   Years Known:

   
   

Current/Past Employer:

Current/Past Vol. Position(s):

Education:

Training / Certifications:

Special Skills (Check all that apply):

 Administration Advertising Budgeting/Finance Business Database Management Fund Raising Graphic Arts Legal Marketing Educational Planning Public Relations Public Speaking Research Website/Internet Support Writing/Editing Other

Civic Involvements (current/past):

Hobbies / Special Interest:

What are you long term goals and how will this position fit in with your goals?

What have you gained as a result from past volunteer positions?

How will your past experiences and skills help you contribute as a volunteer?

Have you ever been convicted of any crime other than a minor traffic violation?  Yes No

If yes, give details:

Immediate Project Request: Date: [date projrequestdate date-format:mm/dd/yy]

General Types if Projects Requested (i.e. painting, yard work, events, mailings, etc.):

Group Characteristics:

Size of Group: (Groups larger than 10 may need to be split into smaller groups.):

Age range of members (Youth groups need adult chaperones):

Schedule: How often does your group want to volunteer:

Daily (AM/PM):  Sun Mon Tue Wed Thurs Fri Sat

Monthly (Specify Month AM/PM):  Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Once a year (Specify When AM/PM):  Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Geographic Preference:

Transportation Issues:

Support: What other types of support does your group require?