Volunteer application

Name and address

First Name (required):

Last Name (required):

Middle Name:

Title:

Nickname:

Street 1:

Street 2:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Your Email (required):

Demographic Information

Please provide the information below in order to help us prepare for the upcoming course and assure we have all the needed items.

Salem County Volunteer Program is open to all Salem County residents over 18 years old.

Date of Birth:

Special Skills

Please let us know about any previous training or skills you have that you feel would benefit from you vounteering.

Volunteer Preferences

Which area would you like to volunteer for:

Emergency Contact

First name:

Last Name:

Street 1:

Street 2:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Your Email:

Relationship:

Terms

My submission of this application attests that I am at least 18 years of age. All applicants will be required to successfully pass a criminal background check prior to membership. Volunteering is open to all Salem County residents. Admission to the Salem County Team after completion of the training is subject to approval of the Team Management upon submission of all appropriate documentation.

I agree

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