Volunteer Application

Name*
First
Middle
Last
Address*
State*
Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
City*
Zip Code*
Phone Number*
Is it okay to text this number?*
Yes
No
Email Address*
Emergency Information*
Name
Relationship
Home Phone
Cell or Message Phone
How often would you like to volunteer?*
Please selectOne timeOn a regular basisOnly until my community service requirement is 
Availability? (Check all that apply)
Mornings
Afternoons
Evenings
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Weekends
Skills and Interest (check all that apply) 
Teaching Classes
Interpreting
Public Speaking/Presentations
Long-Term Care Ombudsman
Grounds Maintenance
Group Service Projects
Clerical Assistance
Housing Maintenance
Grantwriting
Marketing
Photography
Special Events
Outreach
Other
Volunteer Driving
Summarize your skills and qualifications*
Do you consider yourself to be low income? *
Due to SNAP's federal funding grant reporting requirements, we are often asked to report the number of volunteer hours donated by low income individuals. For purposes of this process, low income can be defined as 80% Spokane County AMI (Average Median Income). Visit the following webpage to view income guidelines: www.snapwa.org/incomeguidelines
Yes
No
I do not wish to disclose
Applicant Certification (PLEASE READ BELOW and type name to authorize)*
I authorize the investigation of all information contained in this application packet as may be necessary in arriving at a volunteer placement decision. I further authorize the release of any such information without liability. This includes, but is not limited to, reference and background checks. 

I understand that all job offers are contingent upon successful completion of a background check and review, and voluntarily authorize SNAP to obtain information regarding criminal history, performance levels, reliability, responsibility, honesty and/or any other employment- or volunteer-related activity. 

I understand that SNAP adheres to the DSHS Secretary’s List of Crimes and Negative Actions for ALTSA Providers which can be found here: 

http://apps.leg.wa.gov/wac/default.aspx?cite=388-113-0020.

I understand this list can also be found on SNAP’s website in the employment section. I understand that this application is not nor intended to be, a contract of employment. I understand that volunteer placement is "at will," meaning I or SNAP may terminate any volunteer relationship at any time and with or without cause. I understand that I am required to abide by all rules and regulations of SNAP.
This field should be left blank