Beatitude House Volunteer
Application

 

   

     PERSONAL INFORMATION

 

Last Name:_______________________________ First Name:_________________________

 

Address:_____________________________________________________________________

 

E-Mail:_____________________Date of Birth:____/____/____Phone:__________________

 

How were you referred you to Beatitude House?:____________________________________

 

 

 

  OCCUPATION

 

Employer:______________________________Business Phone:_______________________

 

Can we call you at work?  _____Yes  _____No      Work Hours:_______________________

 

 

  EDUCATION/TRAINING

 

High School Grade:_______________________  College:_____________________________

 

Other:_______________________________________________________________________

 

 

  SKILLS

 

Do you speak languages other than English? (Please List)______________________________

 

Do you hold a valid driver’s license?_______________

 

List other skills or resources you possess that might benefit your work in the program:

________________________________________________________________________________

 

________________________________________________________________________________

 

 

  FOR BEATITUDE HOUSE USE ONLY

Volunteer Orientation Date:____________________

 

Areas of Interest:_________________________________________________________________

 

Availability:________________________   Application forwarded to:______________________

 

 

 

VOLUNTEER POSITIONS

Please note that most hours of operations for Beatitude House programs are 8 am to 4 pm.

I am interested in the following positions and am able to volunteer:  (Please check all that apply)

 

TUTORS:

_____GED Preparation

_____Basic Skills

_____Computer Instruction

_____Driver Training

_____Tutor for Children

 

 

OFFICE HELP:

_____Receptionist

               _____North Side

               _____West Side

               _____Warren

_____Secretarial

   _____North Side

               _____West Side

               _____Warren

_____Assist in Development

_____Computer Instruction

_____Driver Training

_____Tutor for Children

 

 

LANDSCAPING:

_____Spring & Fall Clean-up

_____General landscaping duties

 

CHILDCARE*:

_____Babysitting

_____Thursday evening child care

_____Child mentors

 

 

SERVE ON A COMMITTEE:

_____Communications

_____Development

_____Education

_____Finance

 

 

CLEANING HELP:

_____Apartment Preparation

_____Facility Cleaning

 

 

TRANSPORTATION:

_____Transporting mothers & children

 

 

MISCELLANEOUS:

 

_____Guest Speakers

_____Annual Client Picnic

_____Christmas and Easter Parties &

               Santa’s Workshop

_____Auto Mechanic

_____Mover

 

*All volunteers who work alone with children may be required to submit a background check.

 

 

  VOLUNTEER EXPERIENCE

Are you presently a volunteer?  _____Yes  _____No    

 

Have you had previous experience as a volunteer?   _____Yes  _____No     

 

If yes, list organizations and type of work:_________________________________________

 

Are you willing to volunteer a minimum of one (1) hour per week? _____Yes  _____No     

 

When are you available?   ______Mornings    ______Afternoons      _____Evenings

    (Check all that apply)

 

 

 

  COMMITMENT

 

Are you willing to make a one-year commitment to this program? _____Yes  _____No     

 

Will you attend necessary meetings if required? _____Yes  _____No     

 

Do you expect any change in residence or business in the next year that would affect your

 

commitment to the program? _____Yes  _____No     If yes, please explain:______________

 

What life experiences have you had that might be useful to you in work with the program?

 

_______________________________________________________________________________

 

_______________________________________________________________________________

 

A police record check is required for some of our volunteers who will be alone with children.  Are

 

you willing to give permission for this check, if necessary? ____Yes ____No     

 

 

 

  

SIGNATURE OF APPLICANT:______________________________DATE:__________________

 

 

 

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Volunteering

Beatitude House

287 Lora Avenue

Youngstown, OH 44504