Volunteer Application

Please complete in full

Contact Details

First Name:
Last Name:
Last 4 digits of SS:

Home Number:
Mobile Number:
Best Time to Call:

Address:
City:
State:
Zipcode:
Email:

Work Experience

Company: City: State:

Position: Date from: Date to:

Brief Description of Duties:

Company:City: State:

Position: Date from: Date to:

Brief Description of Duties:

Company: City: State:

Position: Date from: Date to:

Brief Description of Duties:

Additional Information

Education:

Additional Skills:

Have you every been convicted of a crime? If yes please explain:

Are you currently recieving any RECAP services. If yes please explain:

Are you related to anyone within RECAP. If yes, who?

Referred By: i.e. ETA

Mandatory Hours: Please indicate per week or in total

Availability
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:

Type of Position applied for:
Other Information: i.e. you have a special skill that you feel can contribute to RECAP

Upcoming Events

Volunteerism and its Impact on the Economy

Date: Mon, May 7th, 2012

Time: 06:00PM - 08:00PM

Location: Suny Orange, South Street Building, Middletown, NY

Dress for Your Future

Date: Fri, May 18th, 2012

Time: 11:00AM - 02:00PM

Location: Town of Wallkill Community Center, 8 Wes Warren Drive, Middletown

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Upcoming Events

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