VOLUNTEER REGISTRATION

Items marked * are required.

Your Name*

Birth Date*

Street Address*

City*

Email

Phone*

Company/School

Have you been convicted of a crime (other than a minor traffic violation)?*
YesNo

If yes, explain.

Start Date

End Date

Days Available
SundayMondayTuesdayWednesdayThursdayFridaySaturday

Times Available

What languages do you speak fluently?

What would you like to learn from this volunteer experience?

Please list your special skills, talents, and hobbies:

What recognition or certificate can Open Doors provide you upon completion of your volunteer experience?

Desired volunteer position (check all that apply):
Childcare Provider AssistantFundraiser/MarketingEvent Organizer AssistantAdministrative/Tech Support VolunteerLanguage Support SpecialistSpecial Education AdvocateTutor/FriendRespite CareVolunteer Manager

High School

Did you graduate?
YesNo

Diploma:

College

Did you graduate?
YesNo

Degree:

List any other training or certificates:

Company:

Company Street Address

City

Job Title

Responsibilities:

Start & End Dates

Supervisor Name & Phone Number

May we contact your previous supervisor for a reference?
YesNo

If applicable, describe your experience of working with people who have disabilities or any other relevant experience:

Name

Phone Number

FOR PERSONS 18 YEARS AND OLDER: By checking the 'Agree' box below I voluntarily and knowingly allow ODMF to run background and reference checks as needed, and I waive the option to bring any legal action against ODMF regarding the process and completion of a background check. I have reviewed my application and I attest that the information is accurate and complete to my best knowledge.*
AgreeDon't Agree

ODMF serves vulnerable populations as defined by the Child/Adult Abuse Information Act RCW 43.43.830 through 43.43.84. As part of volunteer screening, ODMF conducts background and reference checks on all volunteers 18 years or older prior to accepting volunteers for service.

"I certify that all information submitted by me in this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and active volunteer status may be terminated at any time. In consideration of my volunteer application, I agree to adhere to the policies and regulations of Open Doors for Multicultural Families, and I agree that my volunteer status may be terminated, with or without cause, and with or without notice, at any time by Open Doors for Multicultural Families."*