Volunteer Application

New Horizons of the Treasure Coast and Okeechobee
Volunteer Application

Volunteer applicants are required to complete or provide the following:
- New volunteer orientation sessions in-person or online.
- A copy of driver's license and auto insurance card.
- Commit to a minimum of 4 hours or more per week.
- Pass a Level 2 background check, scheduled and paid for by New Horizons (Reissued every 5 years)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Do you live in a Gated or 55+ Community?
Name of Community
Ethnicity
Employment Status:
My preferred method of communication: *
I would like to volunteer in the following county (select all that apply): *
I am interested in the the following volunteer opportunities:
Describe any relevant skills or professional experience:
I enjoy (select all that apply):

ReadingSewing, knitting, quilting etc.Playing cardsPhotographyGardeningWalkingSportsSing or play a musical instrumentComputerOther
Please provide more details:
I am available to volunteer (select all that apply:

12 months a yearSummer monthsWinter monthsVarious MonthsOther
Time of Year:
I am available to volunteer on the following days (select all that apply):*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayHolidaysOther
Days:
I am available to to volunteer during the following hours (select all that apply):*

8 am - 12 pm12 pm - 4 pm4 pm - 8 pmOther
Hours:
Veteran Status*

YesNo
Branch of Service:
I have volunteered with other organizations:*

YesNo
Volunteer experience:
I speak a second language (select all that apply):

SpanishFrenchGermanItalianCreoleNoneOther
Other language(s):
Please provide two personal references:
Reference 1: *

First NameLast Name
Reference 1 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
How many years have you known reference 1: *
Relationship to reference 1: *
Reference 2: *

First NameLast Name
Reference 2 Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
How many years have you known reference 2: *
Relationship to reference 2: *

New Horizons of the Treasure Coast and Okeechobee