"
*
" indicates required fields
Step
1
of
5
20%
Volunteer Application
Name
*
First
Middle
Last
Email
*
Home Phone
*
Cell Phone
*
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
Are you at least 16 years old?
*
Yes
No
Current Employer
*
Phone
*
Job Position
*
Supervisor
*
Education Level:(check all that apply)
*
Elementary School
Middle School
High School
College
Graduate Studies
How did you hear about Goodwill's Volunteer Program?
Internet
Community Organization
Friend
Other
If Other, please specify:
Why do you wish to volunteer?
Are you volunteering to fulfill a commitment?
Yes
No
If yes, please select:
Required High School Hours
Required College Hours
Other
If Other, please explain:
Would you be willing to allow Goodwill of North Florida to perform a background check on you?
Yes
No
Have you ever been charged with a crime and either been placed on a court-ordered probation, had adjudication withheld, entered a pre-trial intervention program or have any criminal charges now pending?
Yes
No
If Yes, please explain:
Name
This field is for validation purposes and should be left unchanged.
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