Volunteer Application

(Given the sensitive nature of some of the application questions and the fact that this is not a secure web site, please feel free to answer questions, print a hard copy of the application with your answers, sign and date, then mail to: LVC, P.O. Box 1295, Lincoln, CA 95648.)

Personal

1. First Name
2. Last Name
3. Address
4. City
5. State
6. Zip Code
7. Home Phone #
8. Work Phone #
9. Email(valid email required)
10. Age 20'ish 30'ish 40'ish 50'ish 60+'ish
11. Driver's Lic. #
12. Expiration Date
13. Sex
14. Male Female
15. Ever been convicted of any offense, other than a moving traffic violation?
16. No Yes
17. If yes, please list date, type of offense and any other details here: Enter details here if you have been convicted of any offense.

Skills & Abilities

1. Please go through each area listed below, carefully selecting the talents and skills under each category in which you feel you have proven ability.
2. Professional: None Medical Management Financial Legal Accounting Law Enforcement Fire Other
3. Teaching/Tutoring: None Preschool Elementary Junior High Senior High Other Groups
4. Office Help: None Word Processing Computer Programs Office Manager Receptionist Filing Library Other
5. General: None Construction Painting Phones Maintenance Landscaping Food Service Art Music Mechanic Sports Official Transportation Book Store Setup / Take down Other
6. Please list any other skills and abilities not mentioned above:

 

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Sign and date below if printing and mailing in your application (to submit online, use the buttons above):

Your Signature: ____________________________________________________

Date:______________