The Application interviewer’ssignaturesalso required

Typing (words per minute)= Run copiers Computer experience Filing Good handwriting Good printing Good phone personality Medical Expertise Car available for deliveries/pick-ups Class B license (w/ passenger endorsement)

I also have the following abilities that could be useful: ______________________________________________

PREVIOUS WORK EXPERIENCE – attach a resume if available Employers’ Name City and State Job Title Years of work

EDUCATION

School City and State Field of Study Diploma/ Degree

REFERENCES

Anyone volunteering for Salvation Army programs must have a reference check. Please include at least one reference (personal or business) that we may contact:

Name Phone Relationship

Please note: A Motor Vehicle Report (driving record) must be submitted through Sterling for all persons driving TSA vehicles. The volunteer must also complete the DQF packet and complete the TSA drivers training module.

Will this volunteer drive TSA vehicles?

Volunteer has: Commercial Driver’s License

Yes No Yes No or Class B with passenger endorsement Yes No

Describe the type of vehicle: Van Bus 15 Under passengers 16+ passengers Box Truck Canteen

VOLUNTEER STATEMENT

I understand that The Salvation Army, a religious and charitable organization, utilizes volunteers in the conduct of its various spiritual and social programs. It is my desire to further the work of The Salvation Army by performing services as a volunteer for the Salvation Army and its programs. I do not expect to receive wages or any other type of compensation for my work.

I acknowledge that I am not acting as an employee of The Salvation Army. As a “volunteer” I realize that I have no legal claims for minimum wages, overtime, premium, unemployment compensation, workers’ compensation, or other provisions of law for “employees”. Rather it is my desire to help The Salvation Army accomplish its mission.

Date:___________________ Volunteer Signature: ________________________________________ Date:___________________ Interviewer Signature: _______________________________________