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Volunteer Sign-Up

Volunteer just a few hours of your time and help make a difference in the lives of people with disabilities.

At Careers Industries, we are privileged, honored and blessed to serve a remarkable group of individuals every day. You too can help enrich the lives of persons with disabilities. Like you, they want to work, learn or socialize in a contemporary setting with all the latest amenities.

Volunteer Sign-Up Form

Full Name*:
Email:
Phone*:
Street Address*:
City*:
State*:
Zip Code*:
Are you at least 18 years old?*:
Have you ever volunteered for Careers Industries before?:
Do you know anyone who is employed or in programs at Careers Industries? If yes, please give their name:
Volunteer position applying for:
Days and hours available:
What day can you start?:
How did you hear about us?:


Volunteer or Employment History

1.
Name of Organization:
Phone:
Address:
Position Title:
Volunteer/Employment Dates:
Name of Immediate Supervisor:
May we contact as a reference?:

2.
Name of Organization:
Phone:
Address:
Position Title:
Volunteer/Employment Dates:
Name of Immediate Supervisor:
May we contact as a reference?:



Please Read Carefully Before Signing This Form

1. All information contained in this application is true and correct to the best of my knowledge. I understand that misrepresentations or omissions of any kind may result in denial of a volunteer position or be cause for subsequent end of volunteer position.
2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or organizations familiar with me for the purpose of verifying any information I have provided. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me, my volunteering or employment.
3. Regardless of whether or not I am accepted by the company, I recognize this application is not and should not be considered a contract of employment. I understand that this is an unpaid and temporary relationship on an at-will basis and may be terminated with or without cause, and without notice, at any time, at my option or the company's.
By checking this box, I am agreeing to the terms and conditions of this volunteer application:

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