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:_______________________________________________________________________ Zip Code:___________________ Phone:_______________________________________ Name:_________________________________________________________________________ Address:_______________________________________________________________________ Zip Code:___________________ Phone:_______________________________________ 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 | 
Courthouse 