VOLUNTEER REGISTRATION - Community Action Council of Howard County

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

What are your preferred locations? *

Main Office
Food Bank
Head Start
Community Garden

What are your preferred times? *

Weekday Mornings
Weekday Afternoons
Weekends

Are you required to volunteer to get hours for school, court, or social services? *

No
Yes, For School
Yes, Court Order or Community Service

Emergency Contact Name *

Emergency Contact Phone Number *

Relationship to you *

How did you hear about us?

If you have special skills, please list them here

If you speak any other languages, please list them here

Disclosure
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in immediate withdrawal from volunteer opportunities.
Our Policy
Community Action Council of Howard County is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and/or the business needs of the organization. Please note that you might be asked to complete a criminal background check based on your volunteer position. Thank you for your interest in volunteering with us. We value your time and commitment in serving our community!

Signature *

Send this info to Salesforce?

Yes