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- Volunteer
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Home
About Us
Apply
Legacy
Partner
- Volunteer
Contacts

Make A Donation

Volunteer

HELP PROVIDE INITIATIVE FOR WHAT RESIDENTS NEED MOST. A SAFE HOME.

You can make an impact with Total Legacy Foundation.

What kind of Volunteer do you want to be? Volunteers may:

Provide the help individuals need the most.
Make home space for future residents transitioning to independent living.
Help pick up essential items.
And more!

TOTAL LEGACY
VOLUNTEER APPLICATION

Note: Depending on the sensitive nature of our work, we request the following information: on the bottom of the page

Contact information

Emergency Information:

Emergency Contact Information

Relationship

Telephone

Address

Availability to volunteer

Start date

County

Status

Hours needed

Completion date

Work history Are you working or looking for work? Type

If you plan on attending school or training, what type of education?

Note: We are requesting EEO information on a voluntary basis. The information collected is confidential. Please check how you would designate yourself racially and/or culturally:

Race

References

Title/relationship

Organization name

Address

City

State

Zip

Personal

ProfessionaL

E-mail

1. Have you ever been convicted of a crime?

Yes No

1. Have you ever been convicted of a crime?

Yes No

If Yes Please explain when, where, and the nature of the offense below:

2. Are there any criminal charges, against you currently?

Yes No

If Yes Please explain when, where, and the nature of the offense below:

3. Have you ever had a personal protection order against you?

Yes No

If Yes Please explain when, where, and the nature of the offense below:

4. Have you ever been involved in the abuse or neglect of a child or adult?

Yes No

If Yes Please explain when, where, and the nature of the offense below:

5. Have you ever been involved with a protective service agency?

Yes No

If Yes Please explain when, where, and the nature of the offense below:

The information contained in this application is correct to the best of my knowledge and is hereby given for any investigation that may be necessary. I understand that misleading or untruthful information on this application may result I my dismissal from any volunteer job consideration. I authorize my references listed in this application to relay information they may have regarding my character and fitness for work on behalf of children. I release all such references from liability for any damage that may result from furnishing such evaluations to you, and I waive any right that I have to inspect references provided on my behalf.

Applicant’s signature

Date

Witness signature

Date

Print witness name

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