H.A.C.E.R., Ministry Corp.
(Hispanics in Action for Community Education & Rehabilitation)

www.Hacerus.org

Thank you for taking the time to complete this application form and for your interest in volunteering with us. Please know that the included information will be kept confidential and will only be shared with the appropriate staff.

We look forward to meeting you!

General Information

First and Last Name *

Gender *

Date of Birth * 🛈 +

Street Address *

City & State *

Zip Code *

Phone Number *

Email Address *

Occupation

Employment Status

Place of Employment

Business Address

City, State, Zip Code

Business Phone

Person to Notify In Case of Emergency

First & Last Name *

Relationship *

Phone Number *

Availability

Interests

Special Skills or Qualifications

Summarize special skills and qualifications you've acquired from employment, past volunteer work, or through other activities, including hobbies and sports. *

Previous Volunteer Experience

Summarize your previous volunteer experience

How did you become interested in volunteering at H.A.C.E.R? *

Our Policy

It is the policy of H.A.C.E.R., Ministry Corp. to provide equal opportunities without regard to race, color, religion, natural origin, gender, sexual preference, age, or disability.

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or any other misentepretations by me on this application may result in my immediate dismissal.

Electronic Signature * 🛈

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If you have any questions, please do not hesitate to give us a call at (561) 692-3772.

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