Community Volunteer Application

Whether an individual can serve for an hour each month, a few hours a week, or during special events throughout the year, the energy and heart that our Community Volunteers bring to CAP has a tremendous impact. We will be in touch soon after receiving your application to discuss specific opportunities.

Please note that if you are applying for a regular, ongoing opportunity, a national criminal and sex offender (and for some applicants, motor vehicle) background check is required for acceptance as a CAP volunteer. We will send you the appropriate authorization forms after reviewing your application. These checks will be completed at no cost to you.

Save & Return

Save your progress and complete this form later. (optional)

GENERAL INFORMATION

First Name *

Name you preferred to be called

Last Name

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Are you over the age of 18? *

Yes

No

If no, when will you turn 18?

SERVICE INTERESTS

Please check the areas in which you have interest and/or experience. Provide comments on any area below:

	INTEREST	EXPERIENCE
Education	INTEREST	EXPERIENCE
Early Childhood	INTEREST	EXPERIENCE
Camp Counselor	INTEREST	EXPERIENCE
Trail Work	INTEREST	EXPERIENCE
Clerical/Office	INTEREST	EXPERIENCE
Home Repair	INTEREST	EXPERIENCE
Food Pantry	INTEREST	EXPERIENCE
Arts and Crafts	INTEREST	EXPERIENCE
Medical	INTEREST	EXPERIENCE
Thrift Store/Retail	INTEREST	EXPERIENCE
Cook/Food Service	INTEREST	EXPERIENCE
Volunteer Recruitment	INTEREST	EXPERIENCE

COMMENTS (OPTIONAL)

Describe other skills, interests, or hobbies

TIME COMMITMENT

What kind of volunteer opportunities are you interested in? *

Is your schedule flexible? *

Yes

No

What is the earliest date you are available to begin service? * +

Please indicate the days and hours you are available:

	MORNING	AFTERNOON	EVENING
MONDAY	MORNING	AFTERNOON	EVENING
TUESDAY	MORNING	AFTERNOON	EVENING
WEDNESDAY	MORNING	AFTERNOON	EVENING
THURSDAY	MORNING	AFTERNOON	EVENING
FRIDAY	MORNING	AFTERNOON	EVENING

Comments:

REFERRALS AND REFERENCES

How did you learn about Christian Appalachian Project? Check all that apply. *

If you checked former volunteer, former participant, or former employee, please list the year and the service you received, or program where you served.

Please list two individuals who can make a statement of recommendation for you.

Reference #1:

Name *

Relationship *

Phone Number *

Reference #2:

Name *

Relationship *

Phone Number *

Final Steps

The information I have provided on this Application for Community Volunteer Service is accurate and true to the best of my knowledge. I understand that this application places no obligation on the Christian Appalachian Project (CAP) or me; however, it does indicate a serious intention to volunteer my services to CAP. Should I decide to withdraw my application for volunteer service, I will notify CAP as soon as possible.

Signature *

clear

Date *

We look forward to reviewing your completed application. Thank you again for your interest in serving with Christian Appalachian Project!

Christian Appalachian Project (CAP)’s volunteer and AmeriCorps positions are available to all without regard to race, color, sex, national origin, religion, age, mental or physical disability, HIV/AIDS status, sexual orientation, gender identity or expression, political affiliation, marital or parental status, military service, or any other improper criterion. Disabilities will not limit opportunities when it is possible to reasonably accommodate the disability of the qualified person.

CAP is committed to providing a safe, healthy, and productive environment that is free from alcohol, drugs (including medical marijuana), or any other unlawful substance during a volunteer’s service commitment with CAP.

CAP cannot consider volunteer or AmeriCorps applicants with the following:

a murder conviction
any other felony conviction within the last 10 years
a misdemeanor conviction within the last 10 years that has been deemed as a violent offense
a drug or alcohol related conviction within the past five years

Additionally, CAP cannot consider applicants who are registered or who are required to be registered as sex offenders.

Questions? Contact CAP Volunteer Program

606-256-0973 • volunteer@chrisapp.org

Search Engine	Facebook
AmeriCorps	CAP representative
Catholic Volunteer Network	I volunteered with a group
I volunteered with WorkFest	I volunteered with YouthFest
Donor mail	Volunteer fair or event
My college	My church
I am a former short-term, one-year, or summer camp volunteer	I heard about CAP from a former volunteer
Word of mouth	I am a former or current CAP participant
Other Other