Volunteer and Support Staff Application

Before completing this form, please read the Support Staff Handbook, which can be found at pacific-crest.org/policies. Scroll down to the Staff section to find the document.

Pacific Crest acknowledges that equal opportunity for all persons is a fundamental human value. Each volunteer applicant will be considered on the basis of individual ability and merit, without regard to race, color, age, religion, national origin, disability, sexual orientation, sex, or marital status.

Applicant Information
Name*
First Last
Address*
Street Address City State ZIP Code
Email*
Enter Email Confirm Email
Phone
Gender
Ethnic Category
Volunteer Experience
What job(s) interest you at Pacific Crest?*
Skills*
Education (Highest Level)*
Past Volunteer Work
Please include brief summary of tasks/duties
In Case of Emergency
Name
Relationship
Phone
Driving Information
Pacific Crest requires a valid driver’s license and proof of automobile insurance for volunteers who drive on behalf of the organization. Are you able to use your automobile if the volunteer position requires one?
Use of Personal Vehicle
- Yes
- No
Driver's License Number
State of Issue
Expiration Date
Date Format: MM slash DD slash YYYY
Insurance Carrier
Insurance Policy #
Criminal History
Have you ever been convicted of a crime other than a minor traffic violation? (Conviction will not automatically bar your working for Pacific Crest. Each case is considered on it own merits)
- No
- Yes
If yes, please explain.
Have you ever been dismissed for cause from a volunteer or paid position?
- No
- Yes
If yes, please explain.
Confirmation and Signature
Consent*
I agree to Pacific Crest's policies and procedures
I have read the Pacific Crest Support Staff Handbook, and agree to abide by the policies and procedures within it.
Enter the version of the Handbook (month and year at the bottom of the cover)**
Consent*
I agree
My signature is provided by typing my full name below. I certify that all statements made on this application are true, complete and correct to the best of my knowledge and belief. I understand these statements are subject to verification. I understand that falsification on this application can disqualify me from consideration or result in my volunteer services being denied. Furthermore, my Signature below provides my authorization to Pacific Crest Youth Arts Organization to conduct driver license and motor vehicle record checks as needed, as well as reference checks to determine my suitability for placement.
Enter Full Name as Signature*
Signature Date
Date Format: MM slash DD slash YYYY

Applicant Information

Volunteer Experience

In Case of Emergency

Driving Information

Criminal History

Confirmation and Signature