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)

Job Experience: (Include other volunteer experience)

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/Wodlawn
  
• 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:________________________________________

Holiday Project Volunteer Office Application

Revised August 23, 2004