1208 Delsea Drive Westville, NJ 08093 Ph: 856.848.1025 Fax: 856.848.8429 Volunteer Application Please know that there are times when volunteer opportunities are not available at Abilities Solutions. We respect our volunteers and gain tremendously from their involvement. However, because we honor and believe in volunteerism, we will not create openings that may not be mutually beneficial or meaningful. Please complete all sections, marking “NA” for “Not Applicable” if appropriate, and complete all fields using the tab key to move between fields. PersonalNameLast, First, MiddleDate Date Format: MM slash DD slash YYYY Contact info Street Address CityStateZip CodePhone (Home)(Cell)(Business)* EmailAre you at least 18 years old? Yes No Are you legally eligible for employment in the United States? Yes No What would you like to do as a Volunteer? Please explain.Employment Please provide information for your last 2 employers, starting with last one first. EmployerAddressDates of Employment – From Mo./Yr. To Mo./Yr. PositionReason for LeavingEmployerAddressDates of Employment – From Mo./Yr. To Mo./Yr. PositionReason for LeavingPrevious Volunteer ServiceOrganization and ExperienceDates of Employment – From Mo./Yr. To Mo./Yr.Organization and ExperienceDates of Employment – From Mo./Yr. To Mo./Yr.Additional Volunteer ExperienceMilitary Service Record Branch of ServiceDates Served Type of Discharge Training/SkillsOther SkillsList machines you can operate.List computer software you’re familiar with.List licenses or certificates you have.Are you fluent in any language(s) other than English? If yes, please list them.Education HistoryName of SchoolDid you Graduate? Yes or No.Degree or Certificate EarnedHigh School Business/Vocational SchoolCollege/University Graduate Studies Days and Hours AvailableMondayTuesdayWednesdayThursdayFridayPlease list times available for each day. ReferencesEmployment/Volunteer Experience Reference 1NameWhat is the nature of your work relationship?AddressPhoneEmployment/Volunteer Experience Reference 2NameWhat is the nature of your work relationship?AddressPhonePersonal ReferenceNameWhat is the nature of your relationship?AddressPhoneAPPLICANT'S AFFIRMATION* I certify that the information I have provided on this application is true and complete, to the best of my knowledge. I understand that any false or misleading statements made on this application may result in refusal or subsequent termination of my volunteer service. *Acceptance I agree to the terms and conditions Applicant NameDateNameThis field is for validation purposes and should be left unchanged.