Metro Charities Volunteer Online Application

All fields marked with an asterisk (*) are required fields.
*First Name	*Last Name
*Address	Apartment or Suite No.
*City	*State Select One --------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip Code
*Contact Number	*Number Type Mobile Phone Home Phone Work Phone
*E-mail Address	*Birth Date -mm- 1 2 3 4 5 6 7 8 9 10 11 12 -dd- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -yyyy- 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1827 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908
What kind of volunteer opportunities are you interested in:
Describe any physical limitations we should know about (heavy lifting, allergies, etc. -- enter "None" if you have no limitations).
How did you find out about volunteering at Metropolitan Charities?
Word of mouth Internet (website or email) Metro Charities staff or volunteer Another organization Other (please specify)
If other, please specify:
*Are you interested in volunteering with Metropolitan Charities to fulfill a community service requirement? n Yes No
If you answered Yes to the previous question, please list the reason(s) (i.e. school, probation, employer) for this requirement. The information on this form will be kept strictly confidential.
Additional Information (Optional)
Current Employer	Job Title
Does your employer offer matching contributions? n n Yes No
Are you a student? select one high school college or university advanced degree/graduate school	Which School?
Other Memberships (boards, groups, organizations, political, community, place of worship, congregation, etc.):
By submitting this form, you agree that the following is true: All statements made on this form are true, complete and correct to the best of my knowledge. I have read and agree to abide by Metropolitan Charities Volunteer guidelines, and I understand that Metropolitan Charities can choose at any time to terminate my volunteer status.  Metropolitan Charities has my permission to verify any information provided above and contact references. I agree to hold harmless Metropolitan Charities and its staff while performing volunteer services. I understand that a criminal background check may be completed for volunteers whose work includes direct contact with Metropolitan Charities clients or access to private records.

METRO THRIFT STORE
2235 Central Ave
St. Petersburg, FL 33713
Phone: 727-321-7212
©2008 Metropolitan Charities, Inc.