Volunteer Application

Yes, I would like to volunteer for Lutheran Service Society!

Please complete the form below or click here for a printable application.

Contact Information

Name: *

Date of Birth: * (mm/dd/yyyy)

Address:

City:

State:

Zip:

Daytime Phone/Type:

Evening Phone/Type:

Email: *

Which Best Describes Your Occupation

Employed-Where?:

Student-Where?:

Retired-From Where?:

Other-Please Describe:

More Information

Do you know the program where you would like to volunteer?:

Please list any special skills, interests, hobbies, or talents you have:

How did you learn about Lutheran Service Society?:

Are you completing Community Service hours for school?:

yes

For court?:

yes

*If Yes, what was the offense?:

Do you drive?:

yes

Do you have an available and reliable vehicle?:

yes

Emergency Contact Information

Name of contact: *

Relationship: *

Phone Number: *

Signature Statement

Believing that Lutheran Service Society has real need of my services as a volunteer worker who serves without pay, I will uphold the traditions and standards of this agency. By submitting this application, I agree to abide by the policies and procedures of Lutheran Service Society. I am aware that Lutheran Service Society conducts criminal background checks on volunteers, and I will comply with this request. I understand that depending on the results of the background check, my role as a volunteer may be required to change.

Agreement: *

I agree and understand the statement