Volunteer Application
We appreciate your request to be a volunteer with our agency.
Please print out, complete the following and mail to:
Ms. Deborah Ward, Director of Volunteer Services
Baltimore County Department of Social Services
Drumcastle Government Center
6401 York Road, Baltimore, Maryland 21212
Date:__________________________
Name:___________________________________________________________________
Address:_________________________________________________________________
___________________________________________________Zip Code: _____________
Social Security #: ___________________________ Sex: M_____F_____
Phone: Home_______________________ Work______________________
Date of Birth: Month_________________Day________________Year_______________
Education: (Circle last year completed)
| High School | 9 | 10 | 11 | 12 |
| College | 1 | 2 | 3 | 4 |
| Graduate School | 1 | 2 | 3 | 4 |
| Other____________________ |
Job Experience: (Include other volunteer experience)
| Name of Employer/Company | Type of Job | From | To |
| _________________________ | _________________________ | _____ | _____ |
| _________________________ | _________________________ | _____ | _____ |
| _________________________ | _________________________ | _____ | _____ |
| _________________________ | _________________________ | _____ | _____ |
Special Interest and Hobbies: ___________________________________________________
______________________________________________________________________________
School/Community Affiliations: (Churches, clubs, other organizations):
______________________________________________________________________________
______________________________________________________________________________
Why Do You Want to be a Volunteer? ____________________________________________
______________________________________________________________________________
What Kind of Volunteer Work Would You Like to Do? (Circle all that apply)
- Clerical
- Clothing Room
- Representative Payee
- Special Projects
- Sexual Assault/Domestic Violence Hotline
What Life/Educational Experiences Have You Had Relevant to this Volunteer Position?
______________________________________________________________________________
______________________________________________________________________________
Where Would You Like to Work? (Circle all that apply)
- Catonsville/Lansdowne
- Essex/Dundalk
- Northern Baltimore County
- Randallstown/Liberty Road/Woodlawn
- Reisterstown/Owings Mills
- Towson
When are You Available to Work? (List days and times)
_______________________________________________________________________________
Do You Have a Driver's License? _________ License #_______________________________
Do You Have a Car Available for Your Use? _______________________________________
List Three References: (Not relatives)
Name:_________________________________________________________________________
Address:_______________________________________________________________________
Name:_________________________________________________________________________
Address:_______________________________________________________________________
Name:_________________________________________________________________________
Address:_______________________________________________________________________
Zip Code:___________________Phone:________________________________________
Office Use Only Date Interviewed___________________________ Date of Training____________________ Volunteer Interest___________________________________________________________ Assignment________________________________________________________________ |
Holiday Project Volunteer Office Application
Revised June 25, 2009
