Where Hope Lives Volunteer Application

Where Hope Lives Volunteer Application
Thank you for your interest in volunteering with Where Hope Lives at StreetLightUSA! We have a variety of openings on an ongoing basis and a desire to match you with the most suitable opportunity. The form below will take about 10-15 minutes to complete and there is a list of other documents to submit at the end. If you have any questions, please reach out to volunteer@streetlightusa.org.

Once you have submitted your form, someone will reach out to you through email to discuss next steps.
Personal Information
Applicant Name*

First NameLast Name
Date of Birth*
Phone Number*
Alternative Number
Applicant Email*
example@example.com
City/State of Residence
Primary Language*

EnglishSpanishSigningOther
Secondary Language

EnglishSpanishSigningOther
Experience and Education Information
Employment Status*

Full TimePart TimeNot employedRetiredLooking for workNot lookingSelf-Employed
Place of Employment*
Job Title *
If self-employed or retired, since what date?

MonthDayYear
Current Schooling Status*

Part-TimeFull TimeNot in schoolOther
Highest Level of Education*
Do you have volunteer experience? *

YesNo
How many years experience have you had working with children?*
years
Name and location of place of worship (If applicable)
Current community activities, memberships, etc.*
Brief description of hobbies, interests, skills, and areas of training/expertise*
Have you applied for a job or volunteered with StreetlightUSA in the past?*

YesNo
Please describe
Volunteer Interest
Support Roles

Admin SupportFront Desk SupportHousekeeping/CleaningFacilities/MaintenanceKitchenSecurityTutoringIT SupportOther
Offsite or virtual

Fundraising EventsWritingAnimation/Graphic DesignResearchTelephoneSocial MediaOther
Have a special skill you are looking to share? Let us know more!
Preferred work location*

On-siteOff-siteFrom home
Is this for an internship, service learning, or other schooling requirement?*

YesNo
Available times--select all that apply*

MorningsAfternoonsEveningsWeekdaysWeekends
Referred by*

ChurchColleagueFlyerFriendInternetSchoolOther
Background Information
Do you have a valid Driver’s License?*

YesNo
Criminal History: Have you ever been arrested or convicted of a crime (including a DUI)?*

YesNo
Please describe
Have you ever been convicted of neglect, abuse, or substance dependency?*

YesNo
Please describe
Do you currently hold a Department of Public Safety Level 1 Arizona Fingerprint Clearance Card?*

YesNo
References
Please list three (3) character references. If you are employed, one reference should be from your employer. PLEASE DO NOT LIST RELATIVES OR ANYONE LIVING IN THE SAME HOUSEHOLD.
Reference Name*

First NameLast Name
Phone Number*
Relationship*
E-mail*
example@example.com
Reference Name*

First NameLast Name
Phone Number*
Relationship*
E-mail*
example@example.com
Reference Name*

First NameLast Name
Phone Number*
Relationship*
E-mail*
example@example.com
I understand that I will also need to submit the following if accepted for a position on campus. Direct Care and Mentoring positions require additional certifications. Please check each to indicate acknowledgment.*

Current level 1 Fingerprint Clearance CardCriminal History Affidavit (needs to be notarized)Current health assessment verifying that you are free of communicable disease; recent TB Test resultsValid government issued photo IDAssumption of Risk/Waiver and other in-house formsDepartment of Child Safety Central Registry Check
By signing below, you affirm that all the answers provided on the application are true. You understand that misrepresentations or omission of facts called for is cause for dismissal. You hereby authorize Where Hope Lives at StreetLightUSA to investigate your background and to contact the given references for the purposes of determining your suitability as a potential volunteer/ intern. *
Date

MonthDayYear
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Where Hope Lives Volunteer Application

Personal Information

Experience and Education Information

Volunteer Interest

Background Information

References