Volunteer application — Weathersfield Community Connection Partners

About you

Full name Street address City

State Zip

Phone Email Date of birth Length at residence

Work

Employed by Type of work

Three references

People who know you and can speak for you, not family members.

Reference 1 name Reference 1 phone

Reference 2 name Reference 2 phone

Reference 3 name Reference 3 phone

Parent or guardian permission

Because the applicant is under 18, a parent or legal guardian needs to fill out this section.

Parent or guardian full name Parent or guardian phone Parent or guardian email

I am the parent or legal guardian of the applicant named on this form. I give permission for them to apply to volunteer with Weathersfield Community Connection Partners, and for the organization to use the information on this form to review the application and to contact me about it.

I am the parent or legal guardian and I give permission. Parent or guardian signature: type your full name

Typing your name here counts as your signature. It must match the parent or guardian name above.

Agreement & signature

Should you become a member of the organization; by signing below you agree to abide by rules and regulations set forth by the Weathersfield Community Connection Partners. In addition to the above, you understand that acceptance to the organization is not guaranteed and strictly voluntary.

I have read and agree to the statement above. Signature: type your full name

Typing your name here counts as your signature. It must match the name at the top. Today's date is added automatically.

Security check

Type the letters and numbers shown in the image. This helps block spam bots.