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Workforce Resource Center
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Loudoun Workforce Resource Center - Volunteer Application Mouse & Keyboard Class Assistant
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This form has been modified since it was saved. Please review all fields before submitting.
(The Loudoun Workforce Resource Center is part of the Dept. of Family Services)
The Loudoun Workforce Resource Center requests the following information to assist in determining if your skills, availability and experience are a good match with the services offered and our needs. This information is confidential and for internal use only. Thank you for your time in completing this application, which serves as the first step in the volunteer intake process.
Please read carefully before completing this online application
All applicants interested in a Volunteer Trainer position must have a minimum of two years’ experience in the subject area they wish to teach and verifiable presentation and/or facilitation skills to groups of adults. To be fully considered for such positions, the minimum requirements must be reflected on the applicant’s resume and attached to the volunteer application at the time of submission.
Contact Information
First Name
*
Last Name
*
Address1
*
Address2
City
*
State
*
Zip
*
Contact Phone Number
*
Email Address
Availability
When are you available?
*
Weekday Mornings
Weekday Afternoons
Year-long
Quarterly
Monthly
Weekly
One-time Event
Present Employment Status:
*
Employed
Self-employed
Retired
Unemployed
Do you have prior volunteer experience?
*
Yes
No
If yes, please explain:
I am interested in volunteering for the Mouse & Keyboard Class Assistant
Yes
No
If you would like to attach your resume, please use the browse button below:
Background
Are you 18 or older?
*
Yes
No
References:
A reference should be a person (NON-RELATIVE) who is familiar with your qualifications and/or experiences as they relate to the topics you are interested in facilitating. YOU MUST PROVIDE TWO (2) REFERENCES.
Reference 1:
Name:
*
Title:
Relationship:
*
Years Known
*
Daytime Phone
*
Email
Reference 2:
Name:
*
Title:
Relationship:
*
Years Known
*
Daytime Phone:
*
Email:
Consent to Release Information/Disclosure
I hereby authorize the Loudoun Workforce Resource Center (part of the Department of Family Services) to verify information reported on this application. I understand that this information may be gathered at anytime during my association as a volunteer with the Loudoun Workforce Resource Center. I release the Loudoun Workforce Resource Center and organizations supplying information, from all liability and responsibility, damages and claims of any kind arising from this investigation of my background.
I understand that misrepresentations or omissions may be cause for my immediate denial as an applicant for a volunteer position or my termination as a volunteer with the Loudoun Workforce Resource Center.
I understand that this is an application for and not commitment or promise of volunteer opportunity.
I understand that all information will be considered confidential to the fullest extent allowed by the law.
I agree to the above statements
Please enter your initials
Just a reminder: Once the application is received, the Training Coordinator will contact the prospective volunteer to ask questions, gather more information and possibly schedule an interview.
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Email address
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