Volunteer Application Form

Mission Statement

HCC volunteers are dedicated to complementing and supplementing HCC’s goal of making the College a learner-centered, accessible, life-long learning institution dedicated to student and community success.

If you prefer, you can download a printable version of this form and hand it into the College Advancement office.

Name

Street Address

City

State

- Select -Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Telephone Number

Email Address

Date of Birth

Emergency Contact Person

Relationship to You

Emergency Contact Telephone Number

Previous or Current Employer

Previous or Current Volunteer Experience

Community Affiliations (church, clubs, other organizations)

Interest in Volunteering

- Select -Weekly Every other week Monthly Special projects Occasionally (on call as needed)

Days Available to Volunteer (check all that apply)

- Select -Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Skills and Interests (check all that apply)

- Select -Art Children Classroom Computer Data Entry Events Gardening Library Mentor/Tutor Photography Office Work (filing, documenting, inventory, mailings) Registration Sports/Sporting events Telephone Theater Writing Other

Other (please specify)

Have you ever been convicted of a felony or misdemeanor, other than minor traffic violations?

- Select -No Yes

If yes, please explain

Special Skills/Professional Background

Physical Limitations

As a Volunteer at Hagerstown Community College, I pledge to:

• Attend the volunteer orientation program
• Be punctual and conscientious in the fulfillment of my duties
• Conduct myself with dignity, courtesy and respect for others
• Comply with the standards, policies and values of HCC

I agree to the HCC Volunteer's Pledge