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Volunteer Application Form

Volunteer Personal Information
Last Name*
First Name
Street Address*
City*
State/Region*
Enter Region
Zip Code*
Cell Phone
()-ext
Enter Int'l Number
Work Phone
()-ext
Enter Int'l Number
Home Email*
References
THREE references are required of Adoption STAR volunteers. References from work or volunteer assignment are most helpful. Please use use full names and provide complete addresses. PLEASE EXCLUDE FAMILY MEMBERS. Applications submitted without references will not be considered.
Reference #1 Full Name*
Reference #1 Full Address*
Please enter Street, City and Zip Code
Reference #1 Phone Number*
()-ext
Enter Int'l Number
Reference #1 email*
Reference #1 Relationship*
Reference #2 Full Name*
Please enter Street, City and Zip Code
Reference #2 Full Address*
Please enter Street, City and Zip Code
Reference #2 Phone Number*
()-ext
Enter Int'l Number
Reference #2 email*
Reference #2 Relationship*
Reference #3 Full Name*
Reference #3 Full Address*
Please enter Street, City and Zip Code
Reference #3 Phone Number*
()-ext
Enter Int'l Number
Reference #3 email*
Reference #3 Relationship*
Volunteer Opportunites
Opportunities are available at our Buffalo, New York location only.
Volunteer Opportunities: Select all that apply*
 
Volunteer Info
Have you volunteered with Adoption STAR in the past 12 months?
Do you have your own transportation?
Are you currently a student?
How did you find out about Adoption STAR?  
Other:
Does your schedule permit you to volunteer anytime?
Volunteer Available Time
Please indicate the days and times you are available to volunteer.
  Volunteer Available Times

Adoption STAR does not discriminate with regard to applicant's race, color, creed, gender, sexual orientation, marital status, age, or disability. I hereby authorize Adoption STAR to contact the referenced individuals for the purposes of obtaining background information about me, my skills, my work product, and any and all other relevant information these individuals choose to share, for the purposes of my volunteering. I understand that a volunteer opportunity will be conditioned upon satisfactory results of a background investigation, if background investigation is applicable. By selecting "I Agree" I certify that I have read, understand and agree with the above.

Volunteer Agreement
I Agree*
 
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