Thank you for your interest in volunteering! Please complete this application. Once submitted, your application will be reviewed and someone from PRISM will contact you. Thanks!

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* 1. Today's Date

Date

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* 2. Name (First, Last)

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* 3. Suffix

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* 4. Volunteer is:

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* 5. Address

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* 6. Emergency Contact Name

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* 7. Emergency Contact Phone Number

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* 8. Emergency Contact's Relation to You

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* 9. For the safety of our clients, volunteers, and staff, PRISM requires all potential volunteers to disclose any misdemeanor or felony convictions they have had. PRISM may run a criminal background and/or drivers license check on applicants who wish to work directly with our participants. 

Do you have any misdemeanor or felony convictions?

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* 10. Ethnicity/Race

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* 11. Do you belong to one of PRISM's Faith Partners?

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* 12. How did you hear about PRISM?

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* 13. Are you employed?

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* 14. Does your employer match employee donations for charitable organizations? 

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* 15. Are you willing to be called if we are short-staffed?

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* 16. Primary Language

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* 17. Proficient Languages

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* 18. Please check all areas of interest in these ONGOING OPPORTUNITIES

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* 19. Please check all areas of interest in these PERIODIC OPPORTUNITIES

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* 20. Indicate Your Food Shelf Availability

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* 21. Indicate Your Front Desk Availability

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* 22. Indicate Your Thrift Shop Availability

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* 23. Additional Comments 

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* 24. Signature

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* 25. Date 

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