Volunteer Application

Volunteer Application for Santa Maria Community Services

Name *

First

Last

Address *

City *

State *

Zip Code *

Date of Birth *

Cell Phone Number *

Other Phone Number

Email *

Group, School, or Work Affiliation

Languages Spoken

In Case of Emergency Contact Name *

First

Last

In Case of Emergency Phone *

In Case of Emergency Relationship *

Current/Most Recent Employer

Occupation

Dates of Employment

Are you currently employed? *

Yes
No
Part-Time
Retired

High School Attended

Level Completed

College Attended

Level Completed

Graduate School Attended

Level Completed

First Reference Name

First

Last

First Reference Relationship

First Reference Phone Number

First Reference Email

Please list past volunteer experiences.

How did you learn about Santa Maria?

What do you hope to gain from volunteering at Santa Maria? *

What activities or abilities would you be interested in sharing or doing at Santa Maria?

Internship. (Please include Department under "Other" below)
Clothing Closet Organization
Clerical Support (data entry, file management, typing, photocopying, mailings)
Community outreach (attend fairs and community events, distribute promotional materials)
Gardening/landscaping at Literacy Center West garden (seasonal)
Assist program staff on home visits (relevant experience required)
Maintenance and building projects, painting, landscaping, cleaning, etc.
Organization and Leadership for Boards, Committees or Special Projects
Conduct mock interviews, work on resume building, and professional development with clients
Tutoring English speaking GED students
Tutoring Spanish speaking GED students (bilingual volunteers needed)
Provide expertise to clients through counseling, screenings, etc (relevant experience required)
Assist with after school youth programming at Joe Williams Family Center
Solicit sponsors/in-kind donations, or organize a drive
Translation/interpreting services (please list languages spoken or written under "Other" below)
Special Events: including set up & tear-down
Special Events: coordination/team leader
Transportation (Under "Other" below, please tell us if you are willing to drive your own vehicle, and/or SMCS' passenger van)
Writing articles for newsletters, internet site and proposals
Special skills or expertise you’d like to share (please be specific in the text box below "Other")
Other

If you selected "Other" above or need to record further information, please elaborate here.

Please check all days/hours you are available to volunteer. *

Monday Morning
Monday Afternoon
Monday Evening
Tuesday Morning
Tuesday Afternoon
Tuesday Evening
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Friday Morning
Friday Afternoon
Friday Evening
Weekends for Special Events

How long are you hoping to volunteer at Santa Maria Community Services?

Are you volunteering to fulfill community service hours or other requirements? If yes, please explain.

Photo Release Permission *

I decline to give my permission to Santa Maria for the release of my photos and likeness.
I give my permission to Santa Maria for the release of my photos and likeness.

Please read the below Volunteer Agreement and Release from Liability Statement and then click "accept" before signing the form. *

I accept conditions of the Volunteer Agreement and Release of Liability as stated on this form.

In conjunction with my application for volunteer service with SMCS, I understand that SMCS intend to seek information that may include, but not limited to, licensure or certification verification, motor vehicle record, and/or criminal record. Signature. By entering your first and last name into the below boxes you are agreeing to electronically sign this form. *

First

Last

Today's Date *

Click this box if you are signing as the parent of a minor volunteer applicant.