Your Name (required)
Have you ever received services from Watered Gardens? YesNo
Do you have a valid driver's license? YesNo
Experience and Education:
Highest grade completed:
Do you have any previous experience as a volunteer? If so, what organization and what kind of work did you do?
How can you help? (Select all that apply) Home repairLawn careAuto repairMoving furnitureTutoringHouse cleaningTransportationCounselingMedical/Dental careMeal preparationParenting adviceElderly care/companionshipLegal assistanceFinancial counselYouth MentorOther
If other, please list:
When can you help? (Select all that apply) DailyWeeklyMonthlyMondayTuesdayWednesdayThursdayFridaySaturdaySundayMorningAfternoonEvening
Do you have needs or restrictions we should be aware of?
Date you can begin service:
Volunteer positions may require a criminal history check. Conviction will not necessarily disqualify you from participating. Have you ever been convicted of a felony? YesNo
If yes, explain:
Please describe in 3-5 sentences why you want to be a volunteer for Neighbor Connect:
Do you attend church regularly? YesNo
What church do you attend?
Who is the pastor?
How long have you attended?
Are you involved in a church program/group/volunteer position? YesNo
If yes, please list:
Authorization and Agreement by Applicant
1. I certify that the facts set forth in this Neighbor Connect application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation in my application or interview may result in the rejection of my application or discharge from the volunteer program.
2. I consent to having Watered Gardens complete a criminal background check prior to volunteering.
3. I agree to complete a drug screening at the cost of Watered Gardens if required for the position for which I am applying.