Hershe Group - Volunteer

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Position(s) Sought	*		Help Please Choose One or more Volunteer Opportunities
First Name	*
Last Name	*
Street Address	*
City	*
State	*
Zip Code	*
Cell Phone
Work Phone	*
Home Phone	*
E-mail Address	*
Highest Level of Education	*		Help What is your highest level of education?
Employment Position Tittle	*		Help What is your current position?
Dates of Employment	*		Help When did you start and end employment?
Company/Employer	*		Help With whom were/are you employed?
Employer's Address	*		Help What is your employer's address?
Would you like to keep you company abreast of your volunteer service and achievement?	*	Yes No	Help Would you like to keep you company abreast of your volunteer service and achievement?
Special Training, Skills, Hobbies	*		Help Please list your skills, hobbies and training
Groups, Clubs, Sorority/Fraternity, Organizational Memberships	*		Help Please list all
Please describe your prior Volunteer experience	*		Help Include organization names and dates of service
What experiences have you had that may prepare you to work as a volunteer with the HerShe Group?	*		Help PLease list relevant experiences
What do you want to gain from this experience?	*		Help Please explain
Have you ever been convicted of a crime?	*	Yes No	Help Have you ever been convicted of a crime?
Do you have a driver�s license?	*	Yes No	Help Do you have a driver�s license?
Has your driver�s license ever been revoked or suspended?	*	Yes No	Help Has your driver�s license ever been revoked or suspended?
Do you have current car insurance?	*	Yes No	Help Do you have current car insurance?
Are you able to transport others?	*	Yes No	Help Are you able to transport others?
Are you able to transport others?		Yes No	Help Are you able to transport others?
Are you willing to subject yourself to a background check and fingerprinting?	*	Yes No	Help Are you willing to subject yourself to a background check and fingerprinting?
REFERENCES: Please list 3 references who know you well and can attest to your character, skills, and dependability. Include your current or last employer.
Reference 1	*		Help Please enter Name/Organization, Length of Relationship, Type of Relationship and Phone Number for this reference
Reference 2	*		Help Please enter the Name/Organization, Length of Relationship, Type of Relationship and Phone Number for this Reference
Reference 3	*		Help Please enter the Name/Organization, Length of Relationship, Type of Relationship and Phone Number for this Reference
STATEMENT OF VALIDITY: I certify that I have and will provide information throughout the selection process that is true, correct and complete to the best of my knowledge. I understand that the HerShe Group will verify information contained on my application. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with the HerShe Group or my termination as a volunteer.
I have read and understand the above statement. My statements are true.	*	Yes No	Help If you agree with the above statement, check Yes
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