Application for Volunteers

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

We appreciate your interest in volunteering at Kentucky Wesleyan College. Please complete this volunteer application to tell us about yourself.

General Information

Name*

First Middle Last

Email address*

Phone number*

Address*

Street Address City State Postal Code Country

Volunteer area*

In what area or department would you like to volunteer or what types of tasks are you interested in doing?

Have you ever been employed by or volunteered with Kentucky Wesleyan College?*

Yes

Please list the date(s) and position(s) of employment and/or volunteer expereience.

Click on the "+" to add another row.

Dates of employment

Position

Are you related to a current Kentucky Wesleyan College employee?*

Yes

Please list the employee's name and your relationship to the employee.

Click on the "+" to add another row.

Employee's name

Relationship

Have you attended or graduated from Kentucky Wesleyan College?*

Yes, graduated from KWC

Yes, attended but did not graduate

Criminal and Traffic Violation History

Have you ever been convicted of a criminal offense?*

Yes

Please list the conviction(s) and date(s)*

Click on the "+" to add another row.

Conviction

Date

Have you been convicted of a traffic violation in the past three years?*

Yes

Please list the violation(s) and date(s)*

Click on the "+" to add another row.

Violation

Date

Education

Do you have a high school diploma or GED?*

Yes

School name and location*

School Name City State Country

Do you have a college degree?*

Yes

Do you have an associate's degree?*

Yes

Degree details*

Major or Program of Study School Name City State / Province / Region Country

Do you have a bachelor's degree?*

Yes

Degree details*

Major or Program of Study School Name City State / Province / Region Country

Do you have a master's degree?*

Yes

Degree details*

Major or Program of Study School Name City State / Province / Region Country

Do you have a doctorate or other professional degree?*

Yes

Degree details*

Major or Program of Study School Name City State / Province / Region Country

Do you currently hold a professional certification or license?*

Yes

Certification or license details*

Click on the "+" to add another row.

Certificate/License Name

Issued By

Expiration Date

Employment and Volunteer History

Starting with your present or most recent employer, please list your employment and volunteer experience for the past 10 years.

Do you have any employment and/or volunteer experience to include?*

Yes

Title*

Organization name*

Address*

City State / Province / Region Country

Start date*

End date (if currently employed/volunteering, please check the box below)

Are you still employed/volunteering in this position?*

Yes

Type:*

Full-time employment

Part-time employment

Volunteer

Primary responsibilities*

May we contact this organization?*

Yes

Do you have other employment/volunteering to include?*

Yes

Title*

Organization name*

Address*

City State / Province / Region Country

Start date*

End date*

Type:*

Full-time employment

Part-time employment

Volunteer

Primary responsibilities*

May we contact this organization?*

Yes

Do you have other employment/volunteering to include?*

Yes

Title*

Organization name*

Address*

City State / Province / Region Country

Start date*

End date*

Type:*

Full-time employment

Part-time employment

Volunteer

Primary responsibilities*

May we contact this organization?*

Yes

Do you have other employment/volunteering to include?*

Yes

Title*

Organization name*

Address*

City State / Province / Region Country

Start date*

End date*

Type:*

Full-time employment

Part-time employment

Volunteer

Primary responsibilities*

May we contact this organization?*

Yes

Do you have other employment/volunteering to include?*

Yes

Title*

Organization name*

Address*

City State / Province / Region Country

Start date*

End date*

Type:*

Full-time employment

Part-time employment

Volunteer

Primary responsibilities*

May we contact this organization?*

Yes

Do you have other employment/volunteering to include?*

Yes

Title*

Organization name*

Address*

City State / Province / Region Country

Start date*

End date*

Type:*

Full-time employment

Part-time employment

Volunteer

Primary responsibilities*

May we contact this organization?*

Yes

Military Service

Do you have military service?*

Yes

Thank you for your service. Please complete the following:*

Branch of service

Service start date

Discharge date

Type of discharge

Additional Information

References

Name

Phone number

Signature

Typed signature*

Typed signature

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