Volunteer Application

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Birthdate MM/DD/YY*

Have you volunteered at Lydia Place in the past?*

Yes
No

If yes, please explain your previous experience volunteering with Lydia Place or Wise Buys

Is this volunteer opportunity to satisfy any work/school/legal requirements?

Yes
No

If yes, please explain

Is this volunteer opportunity to complete a vocational program through Opportunity Council, WorkSource, or other program?

Yes
No

If yes, please explain

Volunteer Opportunities*

I am interested in the following volunteer opportunities:

Availability

Please indicate the days and times you are available to volunteer:*

Skills, Experience, and Interests

Please list skills, experience, and interests relevant to the position you are applying for.

Previous Experience

Please list current and previous education, jobs, and volunteer experience.

References

First Reference*

First Last

Relationship*

Phone*

Second Reference*

First Last

Relationship*

Phone*

Emergency Contact

Name*

First Last

Relationship

Phone*

Consent*

I agree to the privacy policy.

By submitting this application, as per Lydia Place volunteer policy, I consent to a Washington State Patrol background check and affirm the facts set forth on this application are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I also give permission to Lydia Place to contact the two references I provided above regarding this volunteer application.

Name

This field is for validation purposes and should be left unchanged.

Less than 25% of people choose to become a volunteer.