Group Volunteer Application Page 2
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Dates Available for Service: __________________________________________________________________________
Please enter hours your group is available:
Sunday
Thursday
Monday
Friday
Tuesday
Saturday
Wednesday
Group Details
□ Fewer than 5
□ 10-20
Group Size:
□ 5-10
□ Other (please list): ________________________________________
Volunteers Ages:
□ Adults
□ Under 16 years old
□ 16-18 years old
**** Please note that children under 16 can volunteer when
accompanied by an adult. 16 and 17 year olds may volunteer
on their own with a signed parental consent form.
Would you like to be notified of future volunteer opportunities at Goodwill? ?
□ Yes □ No
If yes, please list the best way to contact you: ____________________________________________________________
Can we highlight your group in our newsletter, website or in social media? □ Yes □ No
Statement of Understanding
I understand that this application form is not an offer for employment and that my service may only be for a limited
period of time. This is not an employment contract and does not alter any employees’ at-will employment status. I
understand that I will not be compensated by any financial means for my services to Goodwill Industries of SCWI, Inc.
As a condition of volunteering, I give permission for Goodwill Industries of SCWI, Inc. to conduct a background
check(s) on me, which may include a review of criminal history records, sex offender registries, employment verification,
educational/work/personal references and driving record.
I hereby release Goodwill Industries of SCWI, Inc. and their agents and all persons, agencies and entities providing
information or reports about me from any and all liabilities arising out of the request for or releases of the above
mentioned or reports.
I hereby swear and attest that all the information provided on this application is true and complete to the fullest extent of
my knowledge. If I am accepted as a volunteer, Goodwill Industries of SCWI, Inc. may en the relations immediately if I
have made any false statements or material misrepresentations, written or verbal.
Signature:
Date:
Our Mission is to build better communities by providing opportunities
for people with disabilities and other challenges.
Goodwill Industries of South Central Wisconsin, Inc., 1302 Mendota Street, Madison, WI 53714
Phone: 608-246-3140 – Fax: 608-246-1984
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