The Newton Wellesley Weston Committee for Community Living, Inc. Make a Donation

VOLUNTEER APPLICATION


** Required Fields

PERSONAL INFORMATION
** First Name:
 Middle Initial:
 **Last Name:
Street:
 City:
 State:
Zip:
 Telephone:
 Cellphone:
** Email:

EXPERIENCES
Current Occupation:
 Current Employer, if applicable:
 Work Telephone, if applicable:
Employer Address, if applicable:
In addition to your current position, what type(s) of work experience have you had?
What kind(s) of volunteer work have you done before?
Do you have any previous experience with people with intellectual and developmental disabilities? (This is not required.)
What are your leisure interests?
Do you have any hobbies or special talents that you could share?
What are you interested in doing as a volunteer? (Please check all that apply.)
  One-to-one friendship   Friendly visitor (at NWW home)
  Wednesday Night Drop-In Program   Skill-building (literacy, computer, etc.)
  Special projects   Internship
  Family volunteering (with spouse or children)   Other
How often would you be able to volunteer?
  A regular weekly schedule     Please specify # of hrs:
  Twice monthly
  Once monthly
  Other     Please specify:
How did you find out about our volunteer program?
Have you ever been in an automobile accident in which you were found to be at fault? If so, please give the circumstances:

Approximate dates:

REFERENCES
As part of the application process, please give the names of two references, not including relatives:
Reference 1:
 Email Address:
 Relationship:
Reference 2:
 Email Address:
 Relationship:

CERTIFICATION
By submitting this form, I authorize the NWW Committee to contact the above individuals for a character reference, and I attest that my personal information is accurate and correct.