CASDA Volunteer Application

Desired Position *
Preferred Method of Communication *
Are you over the age of 18? *
Availability (Our highest need is during regular business hours: 8 a.m. - 4 p.m. and weekend opportunities are usually limited to on-call and special event positions.)
 Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Background

Do you have a valid driver's license? *
Do you have car insurance *
Have you received a position description for you volunteer area(s) of interest? *

EMPLOYMENT HISTORY & VOLUNTEER EXPERIENCE

Employer
 Fill
Employer Name
Dates of Employment
Address
Phone Number
Job Title & Description of Duties
Supervisor Name
May we contact this person
Volunteer
 Fill
Organization Name
Duties Performed
Dates of Service
Supervisor Contact Info

REFERENCES

Reference #1 *
 Fill
Name
Phone Number
Email
Reference #2 *
 Fill
Name
Phone Number
Email
Reference #3
 Fill
Name
Phone Number
Email
If service is required for school
 Fill
School/Program Name
Instructor Name
Number of Hours Required
Date for Completion
PLEASE READ VERY CAREFULLY BEFORE SIGNING BELOW.
I understand and voluntarily agree that:
 
  1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification for refusal of volunteering, or, if a volunteer, termination from CASDA.
  2. CASDA is not obligated to place me in a volunteer position.
  3. In processing my application for a possible volunteer position, CASDA may verify all the information provided by me through an investigative consumer report concerning, among other things, my prior employment or military record, education, character, general reputation, personal characteristics, criminal record and mode of living. I understand that upon written request I will be informed whether an investigative consumer report was requested and given full information as to the nature and scope of this investigation.
  4. I authorize and request that my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for volunteering. I hereby release them from any and all liability for damages arising from furnishing the requested information.
 +
Applicant's Signature *
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