Name: Address: City: State: Zip Code:
Work Phone: Home Phone: Cell Phone: Email Address:
Why are you interested in volunteering? Personal Educational Community Service Court Ordered Internship Other
If other, please explain:
What is your Age? 18 and over under age 18
Have you ever worked or do you currently work for TAP? If yes, when and what program? Have you ever received services from TAP? If yes, what type of services?
Do you have a valid driver's license? Yes No
Do you have a car available for use while volunteering? Yes No
What is your educational/training background? What is your employment history? Have you had any previous experience as a volunteer? If so, with what organizations, and what kind of work did you do? Does your current employer have (check all that apply): Program Volunteering Donation Matching Your interests at TAP, How did you learn about TAP? Advertisement Website College/University Tap Employee Current Volunteer Please Specify - Other:
(check all that apply)
Other languages you speak:
Date you can begin work?
Criminal History - Some volunteer positions require a Criminal History check. Conviction will not necessarily disqualify you from participating. Have you ever been convicted of a felony?
If, Yes to Criminal History Please Specify
I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from the volunteer program.
TAP considers applicants for internships/volunteering without regard to sex, race, age, religion, national origin, veteran or marital status. We will contact you to inform you of the status of your application. An interview will be scheduled if an applicable volunteer/intern position is available.
Thank you for your interest in TAP.