Volunteer Application

*denotes required field

Personal Information

Name (first, MI, last)*
Address*
City*
State*
Zip Code*
Home Phone* (with area code)
Work Phone (with area code)
Cell Phone (with area code)
Emergency Contact Name*
Emergency Contact Phone No.* (with area code)
Email*
School
Occupation
Employer

Are you volunteering to fulfill court ordered community service hours?

Background Check

A background check is required for all volunteers. The State of Michigan Criminal History Access form requires the following in order to complete the background check:

Date of Birth* (mm/dd/yyyy)

Race*

Gender*

Aliases (including maiden names)

References

Please list two (2) personal references other than family

Name*
Phone* (with area code)
Name*
Phone* (with area code)

Skills/Experience

Please check all that apply. **please specify below

Tasks

Please check any tasks that you would be interested in volunteering for.

Traits

Please check all that apply.

Are there any special skills or training that you would like to share with The Rainbow Connection?

** Use this space to clarify any skills listed above

Do you have weekday volunteer availability?

How did you hear about The Rainbow Connection?

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Corporate Sponsor
The Walmart Foundation
Eastern Oil 2014 Partner
Eastern Oil Company