Volunteer Application Form – Hebret Mutual Aid Society

Date of Application:

Student: *

Yes
No

An application can be submitted by: Emailing it to Hebret2021@gmail.com

Name *

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Last

Address

Address Line 1

City

State

Zip Code

Phone

Cell #

Email *

Position Volunteering For: (E.g., Tutoring, Receptionist, Seniors Assistants etc.)

Times Available to Volunteer

Weekday Mornings

Weekday Afternoons

Weekends

Saturdays
Sundays

Frequency

Please take a moment to tell us about yourself so we can better understand your experiences, skills, and interests.

List the Qualifications and Skills that you bring to HMAS:

Why do you want to serve as a volunteer?

List Your Employment/Training Background:

1 Employer/ Position- Major responsibility / Dates of service (mm/yy) From: To:

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Middle

Last

2 Employer/ Position- Major responsibility / Dates of service (mm/yy) From: To:

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Middle

Last

3 Employer/ Position- Major responsibility / Dates of service (mm/yy) From: To:

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Middle

Last

List any past volunteer experience:

Other information we should know (e.g., medical conditions, allergies etc.)

References:

1: Name / Phone / Address *

First

Middle

Last

2: Name / Phone / Address *

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Middle

Last

Interview/Orientation/Training: Upon completion of this application, all potential volunteers are required to attend an interview which will include orientation to HMAS. On the job training will occur once the volunteer is placed in a program/service area. Confidentiality/Privacy Agreement: All volunteers are required to sign confidentiality and privacy agreements and must always abide by this agreement. This agreement applies to information or knowledge regarding members, staff, other volunteers and any EMAS business and/or financial information. We reserve the right to refuse any volunteer applicant. HMAS Community Services volunteers are included in liability insurance coverage but are not covered by Worker’s Compensation.

Signature of Applicant

Date

Hebret Mutual Aid Society, Inc

7961 Eastern Ave NW Silver Spring, MD 20910 – Email: Hebret2021@gmail.com