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Volunteer Application

 

Contact Information

Name
Address
City
State
Zip
Home Phone
Work Phone
E-Mail Address

Education


Interest

 

 

 

Previous Volunteer Experience
Summarize your previous and state why you want to volunteer with us.
Person to Notify in case of emergency
Name
Address
City
State
Zip
Home Phone
Work Phone
E-Mail Address


Agreement and Signature

I, understand that as a volunteer of The Arc Mid-South, I am donating my time, energy, and efforts at no charge. By applying, I have agreed to uphold the policies and procedures of The Arc Mid-South and understand that if I have any grievances, I may take them to my direct supervisor. I understand that I may be discharged as any employee might be if they were not performing correctly or if they were acting improperly. I give my permission to The Arc Mid-South to take the necessary steps to check my police background and will abide by the no-drug workplace policy in place.
Signature
Date
Witness (Interviewer)
Date


Our Policy

It is the policy of this agency to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this volunteer form and for your interest in volunteering with us.

The Arc Mid-South
3485 Poplar Ave, Suite 210 Memphis, TN 38111-4633
T (901) 327-2473 (F) 901 327-1197 www.thearcmidsouth.org


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