Volunteer Application

We are Better Together

Volunteer Application

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Your Name*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Mobile Phone*

Email*

Educational Experience

Name of school last attended*

Area of study*

Other training or education

Work Experience

Are you currently employed?*

Yes

Current (or last) employer*

Position/Title/Duties*

Other Information

Describe any previous volunteer experience*

Have you worked with people with disabilities before?*

Yes

Your preferred work style*

I prefer to work in groups

I prefer to work on an individual basis

No preference

Describe any special interests or skills we should know about

Days and hours you are available to volunteer*

Which volunteer position(s) are you most interested in? (check all that apply)*

Life Skills for Adults

Supported Living Services

Lirio Resources Thrift Store

Wilcoxon Fitness Center

See position descriptions on our Volunteer page.

Have you ever pleaded 'guilty' or 'no contest' to or have you been convicted of a crime?*

Yes

Please provide details*

References

Name*

First Last

Phone*

Name*

First Last

Phone*

Consent*

I agree.

I agree that Lirio Resources, its staff and/or officers shall not be held responsible for any accidental injury or illness that might occur while acting in a volunteer capacity. I further agree to adhere to the agency policy on maintaining consumer confidentiality and dignity.