Application for Volunteer Assignment

Thank you for your interest in volunteering for the Crozer-Keystone Community Foundation!

This organization is an equal opportunity provider.  We recruit, train and promote without discrimination due to race, color, religion, sex, national origin, ancestry, marital status, age, sexual orientation or disability.

All information provided on this application is subject to verification.  It is our procedure to contact personal references and to conduct criminal and child abuse history checks of prospective volunteers, as required.  All records related to verification and background checks will be kept strictly confidential.

Volunteer Application

REQUIRED PERSONAL INFORMATION

City
State
Zip
(mm / dd / yyyy)
(Please include full name, phone number, and mailing address.)
City
State
Zip

ADDITIONAL PERSONAL INFORMATION

AREAS OF VOLUNTEER INTEREST

Check all that apply.
Check all that apply.

PAST EXPERIENCE

Organization name and address
Volunteer position and dates
{NOTE: Criminal history will not automatically result in denial or loss of volunteer placement.)
This information will only be used by our Human Resources Department.

EMPLOYMENT HISTORY

List employment history starting with current employer.
City
State
Zip
City
State
Zip

IN CASE OF EMERGENCY, please contact:

City
State
Zip

Please read the following carefully before submitting this application:

By clicking "Send" I acknowledge that I am applying for a volunteer assignment/experience at Crozer-Keystone Community Foundation. I have carefully read the application statement and have provided accurate information to the best of my knowledge. The facts set forth in my application are true and complete. Permission is given to CKCF to verify all information I have provided in this application. Unless otherwise indicated in the application, I authorize all persons or entities to provide any relevant information to CKCF or its agents for use in its investigation and release them from any liability for doing so. I understand and agree that this volunteer application and other CKCF documents or statements are not contracts of employment or volunteer service. Volunteer placement is contingent upon successful completion of requirements, including reference verifications, background investigation, and training. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position.