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Application for Volunteers and Interns


Personal Information


Name:

Address:

City:

State:

Zip Code:

Work Phone:

Home Phone:

Cell Phone:

Email Address:


Why are you interested in volunteering?

If other, please explain:

What is your Age?



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?


Do you have a car available for use while volunteering?



Experience and Education:

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):



Your interests at TAP, How did you learn about TAP?

Please Specify - Other:

Which opportunities do you wish to further explore?

(check all that apply)


Perform clerical duties and/or assist with switchboard
Research for Grant Writing and Planning


Intern as a counselor/social worker
Clerical Assistance
Counseling by Licensed Professional
Assistance with Fundraising


Read to children
Assist teacher in classroom
Assist dietary staff
Perform clerical duties
Intern in classroom, family development or mental health services


Input data
Assist with office monitor duties
Assist with fundraising activities
Intern as counselor or social worker


Tutor middle or high school students
Tutor GED students in Math
Science or Writing Skills
Mentor youth
Facilitate life skills workshops
Conduct Mock Interviews
Help prepare resumes
Intern as counselor or social worker
Assist with fundraising activities (Western Virginia Education Classic)
Assist with clerical duties and/or switchboard






What times are you available?







Do you prefer to work? (check all that apply):






Do you have additional language skills you would like to use:



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


AUTHORIZATION AND AGREEMENT BY APPLICANT

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.

Signature of Applicant:


Type Parent/Guardian Signature
(required if less than 18 years of age)

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.

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