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Volunteer Application

Kenosha, WI

Volunteer

Entry Level

If you are interested in volunteering, please complete this application, and we will reach out to you with further information. Please contact [email protected] for any questions or concerns. Thank you.

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First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

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Where did you learn about our volunteer opportunities?*

Do you have any experience with volunteering? If so, where?*

Any special talents or skills you have that you feel would benefit the organization?*

Please indicate days you are available to volunteer.* SundayMondayTuesdayWednesdayThursdayFridaySaturday

What times are you available?*

Do you have any physical limitations?*

KHDS completes references for all new hires, interns, and volunteers. Please provide three references.

Reference 1. Name:*

Email Address:*

Phone #:*

Relationship:*

Years Known:*

Reference 2. Name:*

Email Address:*

Phone #:*

Relationship:*

Years Known:*

Reference 3. Name:*

Email Address:*

Phone #:*

Relationship:*

Years Known:*

KHDS completes criminal background checks for all potential hires, interns, and volunteers. Is there anything on your background check that might come up that could hinder us from moving forward? YesNoI'm unsure.

Human Check*

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