LBDA Volunteer Application

Personal Information
Applicants under 18 will need a parent or guardian's permission to volunteer.
If so, what kind of work did you do?

I certify that all information in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from the volunteer program. I understand that as a part of the final volunteer selection process, I may be required to provide reference and/or consent to conduct a background screening. I understand that all information collected during this background screening will be limited to that appropriate to determine my suitability for this particular type of volunteer work and that such information collected during the screening will be kept confidential. I understand that as a volunteer, I am offering my services of my own free will without any expectation of compensation, benefits, or insurance of any kind. Please type your complete name below as acknowledgment of the above statement. If under the age of 18, a parent/legal guardian's name is also required.