Simpson Housing Services | providing shelter and affordable housing to men, women and children experiencing homelessness.

Simpson Housing Services Volunteer Application


Basic Information

First name
Last name
Nickname
Street address
Apt #
City
St
Zip
Home phone
Cell phone
Work phone
E-mail
Best way to contact you?
Birth date
Employer
Emergency contact
Relationship
Phone
How did you hear about us? Please be as specific as possible (e.g. name of website, newspaper, etc.)


Volunteer Position Interest

Please indicate the volunteer position(s) you are interested in:
		Overnight Shelter Volunteer
		Men's Shelter Evening Meal Provider
		Men's Shelter Breakfast Provider
		Sandwich Provider
		Bag Lunch Provider
		Women's Shelter Evening Meal Provider
		Women's Shelter Breakfast Provider
		Shelter Guest BBQ Provider
		Family Housing Hot Meal Provider
		Children's Activity Coordinator
		Children's Activity Assistant
		Welcome Home Basket Provider
		Birthday Bag Provider
		Donation Drive
		Adopt-a-Family and Holiday Wishes
		Holiday Food Basket
Other interests:


About You

Why do you wish to volunteer with Simpson Housing Services?
Share your experience with the homeless community.
Share experience you've had as a volunteer.
What are your hobbies and interest?
Share your educational background, training, language skills, etc.
What is your occupation (current or before retirement)?
Have you ever been convicted of a crime? If yes, please explain.


References

Please list three persons,not related to you,who would have knowledge of your qualifications to volunteer.
Full Name
Relationship
Phone

Full Name
Relationship
Phone

Full Name
Relationship
Phone

I certify that my answers are true and complete and I understand that if they are not, I am disqualifying myself for a volunteer position. I also understand that I am applying for a volunteer position and that this is not an application for, or a contact of, employment. I authorize the above references to give Simpson Housing Services any pertinent information they may have and authorize investigation of all statements contained in this application.

Simpson Housing Services