Online Volunteer Application

Online Volunteer Application

Name
Address
City, State Zipcode

E-mail address
Phone Primary
Secondary Phone

BACKGROUND INFORMATION

Gender: Female Male

Education completed:

Are you or members of your family current or past participants in any Tumbleweed Center for Youth Development programs or services?
Yes No If yes, which program?

In case of emergency, contact (Name & Relationship)

Daytime Phone Evening phone

How did you hear about Tumbleweed?

Why are you interested in volunteering with Tumbleweed?

What are your expectations of a volunteer experience?
What do you hope to Learn/accomplish?

What skills/talents do you plan to contribute as a volunteer
(such as fluency/knowledge of Spanish or other language)?

EMPLOYMENT INFORMATION

Current Employment status: Full-time Part-time Not employed Self-employment

Occupation
Employer Name
Employer Address
Employer Phone
City, State Zipcode

VOLUNTEER PREFERENCES

I am most interested in An Ongoing Volunteer Experience

If checked, approx. how many hours per week? hours

For how long? Until (date)

I would be willing to help with (Please check all that apply, indicate your first choice.)

Administrative Help Ongoing Special Event/Fundraising Help

* Working with Youth * - What would you do?

* As an On-Call Driver for Our Safe Place Program *

A Short-Term Volunteer Experience - If checked, approx. how many hours total? hours

Special Events Serving Meals Christmas and/or Thanksgiving Help

Renovation/Moving (i.e. inside painting residences, helping youth move into apartments…)

Manual Labor/Construction (i.e. picking up furniture donations, and other residential projects)

* If you checked a starred item(s), it means that you would be working directly with youth and a background fingerprint check is required (licensing regulations). The fingerprinting is a $42 cost to you (arrange via Arizona Dept. of Public Safety). As a prospective ongoing volunteer working directly with youth, you would also need to go through a formal interview and application process. Please acknowledge that you have read, understood and agree to the above statement by initialing here (your initials).

AVAILABILITY

Days/Times (please check):

I will not be available (vacation, school etc.)

Are there any medical/physical concerns to be considered in your volunteer assignment? Yes No

I am interested hearing more about the following program(s): Please Check all that apply

Boys House	Family Builders	Casa de Suenos	Homeless Youth Intervention Project
Open Hands	Outreach	The Learning Center	START (transitional apartments)
Safe Place	Young Adult Program	Phoenix Drop-In Center	Tempe Youth Resource Center

REFERENCES Professional (two are required)

Name:

Address:

Phone:

Name:

Address:

Phone:

I certify that the information I have provided on this application is accurate. I understand that acceptance of this application does not constitute acceptance as a volunteer, and that assignment to a volunteer position is based on assessment by program staff and the availability of a suitable position for me.

Your Full Name: Initials: Date:

Tumbleweed Center For Youth Development - 1419 N. 3rd St. #102 Phoenix, Arizona 85004
Phone: 602.271.9904 | 24-hour crisis hotline: 602.841.5799 | Toll free number: 1.866.SAFE703