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Welcome to the Department of Social Services

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 School9101112
College1234
Graduate School1234
Other____________________

Job Experience: (Include other volunteer experience)

Name of Employer/CompanyType of JobFromTo
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

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

R
evised June 25, 2009


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