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Serving the community since 1984
SHIP's
VOLUNTEER APPLICATION
87 EAST HIGH STREET
SOMERVILLE, NJ 08876
908- 393-9545
NEW E-MAIL
ADDRESS - ship908@optonline.net
Call SHIP at 908-393-9545
FAX - 908-393-9542
Personal Information
Date: _________________________________________________
Name: ________________________________________________
Address:
______________________________________________
_______________________________________________
Circle One: Age ( 5-13
) ( 14-18 ) (18 and up)
Home Phone: ____________________________
Work Phone: ____________________________
fill out if applicable
Organization Name: ______________________________________________________
Organization` Address: ____________________________________________________
Contact Person: __________________________________________________________
Contact Person's Phone Number: ____________________________________________
Job Title Type of Business: _________________________________________________
Hours/Days Available: _____________________________________
______________________________________
______________________________________
Person to call in case of an emergency:
Persons Name: ___________________________________________
Relationship: _____________________________________________
Work Phone: _____________________________________________
Home Phone: _____________________________________________
Education/Training
Highest level completed: ____High School
____College ____Graduate School
Diplomas: _____________________________________________________________
Degree (s) ______________________________________________________
Majors (s) _____________________________________________________
Vocational Training: ______________________________________________
Can you operate a car or truck? _____________________________________
Do you have a valid drivers license?
Have you ever been convicted of a crime?
_____________________________
If so maybe we need to talk about it.
Work History (last 5 years or resume)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Volunteer/Community Activity History
________________________________________________________________________
________________________________________________________________________
For additional
information on volunteer
opportunities
Please
Click Here.
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