BelAir Estates Homeless Shelter in Georgia

BelAir Estates, Inc.

Volunteer Your Time

Who wants to volunteer?

me, me, me, me...

APPLICATION FOR VOLUNTEERS

This is to request consideration as a volunteer worker for BelAir Estates, Inc.
I understand the organization reserves the right to make reference checks
as deemed appropriate for any new prospective volunteer.

Please fill out the volunteer form and click submit.

Information sent via this online form through the Internet is not secure. Do not use this form to
send us confidential, or sensitive information.

ONLINE VOLUNTEER FORM:

                                    GENERAL INFORMATION:

FIRST NAME:

* required

LAST NAME:

* required

EMAIL ADDRESS:

* required

PHONE#:

* required

ALTERNATE PHONE#:

EMERGENCY CONTACT PERSON:

* required

CONTACT PHONE#:

* required

                                    MAILING ADDRESS:

STREET ADDRESS:

CITY:

STATE:

ZIPCODE:

                                    ADDITIONAL INFORMATION:

GRADE LEVEL COMPLETED:

MAJOR AREA OF EXPERTISE:

WORK EXPERIENCE:

SPECIAL
QUALIFICATIONS/
CERTIFICATIONS:

HOW MUCH TIME CAN YOU GIVE:

WHAT ARE YOUR PREFERRED HOURS:

1. PROGRAMS/SVCS INTERESTED IN:

2. PROGRAMS/SVCS INTERESTED IN

BEST CONTACT METHOD TO USE:

Confidentiality Statement: The information submitted and collected by this form is for the internal purposes of BelAir Estates, Inc., only and will not be distributed to any outside companies or vendors.

CERTIFICATION STATEMENTS

I understand that BelAir Estates, Inc., of Newnan Georgia has no obligation to
assign an individual to perform voluntary services solely on the basis of this
application. I have read and fully understand the contents of Georgia Statutes
110.501 - 110.504 for volunteers of State agencies, as specified in the attach-
ment, and the policy and procedures of the University pertaining to Volunteer
Services.

(Note: If you submit this form online, you will be required to sign this document before
being allowed to volunteer.)

VOLUNTEER APPLICATION DOWNLOAD