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become a volunteer

As a volunteer at Goodwill Columbus, you will have an opportunity to make a genuine difference in the lives of those we serve and in your own life. Until you have experienced the sense of accomplishment and seen how your efforts can have a direct and lasting impact, it is difficult to imagine how rewarding your involvement can be.

Fields marked with an asterisk (*) are required

Personal Information:

*First Name:

*Last Name:

*Address:	Apt. number:
*City	*State:	*Zip code:
*Email address:

Home phone (no spaces or hyphens): ( ) Phone number (7-digit):	Gender: Male Female
Birth date: / Birthdate Day: / Birthdate Year:

Employment Information:

*Are you currently employed? Yes No		If yes, are you working full-time or part-time? Full-time Part-time
Occupation:
Employer's Name:		Employer's Phone Number (no spaces or hyphens): ( ) Employer's Phone number (7-digit):

Transportation:

Do you drive? Yes No		If yes, what type of vehicle do you drive? (select all that apply): 2-door 4-door Van Pick-up Other
Travel Area:

Volunteer Experience:

*Education Level:
High School College Post Graduate Other: Please explain:

Degree area:

Previous Volunteer Experience:

Are you willing to attend program orientation/training?
Yes No

What department(s) are you applying for? (Please select all that apply)

Art Studio & Gallery Business Advisory Council Health and Wellness

Onsite Residence Sage Senior Services Service Board

Special Olympics Supported Living Volunteer Partner

Young Adult Services Not Sure Multiple Departments

Volunteer Availability:

Please select the time and day you will be available: Best Time: Morning Afternoon Early Evening Flexible Best Day: Monday Tuesday Wednesday Thursday Friday
Number of hours per week available:	Date available to begin:
Interests & Hobbies:
Clubs & Organizations:
How did you learn about Goodwill Columbus? (Please select all that apply) Current Volunteer Family/Friends Local Church Radio/TV/Newspaper First Link Social Service Agency Volunteer Fair Other: Please Explain:

Personal References:

Name:	Years Known:	Address:	Phone #:
Name:	Years Known:	Address:	Phone #:
Name:	Years Known:	Address:	Phone #:

Agreement and Disclaimer

Disclaimer

I understand that, based on the completion of this volunteer disclaimer form, the screening process, and volunteer training and orientation, Volunteer Programs Staff reserve the right to determine who will be approved as a volunteer.
I understand that I am not obligated, if called upon, to perform the volunteer services indicated on this application.

Equal Opportunity Policy

Goodwill Columbus and SAGE support the full intent and goals of equal volunteer opportunities. All actions which relate to SAGE including recruiting, interviewing, acceptance and matching shall be performed without discrimination and regard to a person's race, color, religion, sex, marital status, ancestry, national origin, mental or physical disability, age or veteran status.

Volunteer Staff Agreement

It is believed that the rehabilitation of persons with disabilities can be enhanced by utilization of volunteers who are willing to give their time, energy and expertise in the performance of duties at Goodwill Columbus. Let it, therefore, be agreed:

A volunteer is not an employee of Goodwill Columbus, and is therefore not entitled to the benefits of an employee as defined by the Fair Labor Standards Act and the company policy manual.
A volunteer does not displace regular employees, but works well under their supervision.
A volunteer will not necessarily be hired by the Company as a result of volunteer efforts, but will receive the same consideration all applicants for employment should they apply for an open position.
Volunteers are expected to abide by the company's code of professional conduct, always modeling the highest professional standards.

I have read the information and understand that by checking this box, I agree to all policies and disclaimers of Goodwill Columbus.

Goodwill Columbus
1331 Edgehill Road
Columbus, OH 43212-3163
Phone: 614.294.5181
TTY: 614.583.0293
Fax: 614.294.6895

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