Volunteer Application

"Rewarding, fulfilling, and fun" are just a few of the words used by our volunteers to describe their experience at Orchard Place. If you're interested in becoming a volunteer, please complete the form below and a representative will contact you shortly. Thank you!

Personal


May you be called at work?

Emergency Contact


Volunteer Interests


Type of volunteer work in which you are interested. *

At what times are you available to volunteer?


Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you have access to a car?
Are you covered by auto insurance?

Education


High School


College


Technical/Trade


Any other Education or Vocational Training

References


Authorization and Understanding


I acknowledge and agree that I am not obligated, if called upon to perform the volunteer services herein applied for and that OrchardPlace is not obligated to assign or seek to assign me to a volunteer position.

I understand that as a part of the matching process, the agency professional staff will elicit additional personal information from me.

I certify that my statements are true, complete, and correct to the best of my knowledge and belief.

I hereby authorize Orchard Place to contact the references listed on the application form and to conduct whatever investigation it may deem necessary to determine if I can become an effective volunteer at the agency.

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