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VOLUNTEERINFORMATION



NAME:_______________________________________________________SEX:_____________RACE:_____________

ADDRESS:________________________________________________________MARITALSTATUS:_____________

PHONENO:___________________________DATEOFBIRTH:__________________SS#:__________________

PASTVOLUNTEEREXPERIENCE:_________________________________________________________________

_______________________________________________________________________________________________________

REFERREDBYWHOM:_____________________________________________________________________________

AUTOMOBILEAVAILABLE:_____________DRIVER’SLICENSENO.:_______________________________

NAMEOFAUTOMOBILEINSURANCECOMPANY:_______________________________________________

SPECIALINTERESTS&ABILITIES(Pleasecheckorlistthoseyouprefer).

_____________Crafts_____________Reading_____________Typing_____________ClericalWork

_____________PresentPrograms_____________Computer_____________Teaching

Other:________________________________________________________________________________________________

VOLUNTEERJOBASSIGNED:______________________________________________________________________

WORKSCHEDULE:_______________________________DAY____________________________________HOURS

EMERGENCYINFORMATION:

Incaseofemergencycall:______________________________________Phone:___________________________

Relationshiptovolunteer:_________________________________________________________________________

(son,daughter,neighbor,etc.)



Doctor:___________________________________________________________Phone:___________________________

Disabilities,Medicalproblems:____________________________________________________________________

SUPERVISOR:___________________________________________DATEOFINTERVIEW:__________________



SIGNATUREOFVOLUNTEER:___________________________________________DATE:__________________

source: setaaad.org

Employee File Checklist Template

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