Volunteer Application

Home Phone *
Home Phone
Work Phone
Work Phone
Cell Phone
Cell Phone
Date of birth:
Date of birth:
If currently enrolled, highest degree received.
Please specify your ethnicity.
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
In the rare event you were to drive a PEARLS participant, we need the following information:
What skills do you have that you would like to use while volunteering with PEARLS? *
Type of volunteer assignment *
If looking for specific times during the day, please list that here.
If none, please note "none".
The above information is correct and complete to the best of my knowledge, without consequential omission of any kind. I understand that the agency will do a background check. I acknowledge that by completing that application the agency is not obligated to offer me a volunteer position. *