Volunteer Application

All information is confidential.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth:*
How old are you?*
Are you 55 or older?*
Hobbies/Expertise/Career Background:*
Do you speak more than one language?*
If so, what language(s)?
Are you familiar with St. Anne's Programs?*
I heard about St. Anne's from:*
I would like to volunteer at St. Anne's because:*
I am interested in helping in one or more of these areas:*
- Early Learning Center (clients ages 0-5) - Must be 18 or older. Background Check, TB test, and vaccines required.
- Workforce Development Program (clients ages 18-24) - Must be 21 or older. Background check required.
- Office/Clerical and Fundraising Events
- Thrift Shop (located in Burbank)
Time Available During Weekdays:*
ex. 9:00 AM - 10:30 AM
Time Available during Weekends:
ex. 9:00 AM - 10:30 AM
I would like to volunteer:*
If other, please explain:
Name of Emergency Contact:*
Emergency Contact's Relationship to You:*
Phone Number of Emergency Contact:*
I will submit a photo ID, TB test results, vaccination records, and undergo a fingerprinting background check (only if applicable):*
Electronic Signature*