Volunteer Application

*Indicates required fields.

Your Information

* Please enter First Name
* Please enter Last Name
* Please enter Date of Birth
* Please enter Address
* Please enter City
*
* The Zip field is required. ex. 99999
* Email field is required.
*
*Preferred Contact Method - Select all that apply:
Phone Call
Text Message
Email

WCET HISTORY

*
Yes
No
*
Yes
No

EMERGENCY CONTACT

* Please enter Emergency Contact First and Last Name
*
* Please enter relationship

REFERENCES


(do not include immediate family)

COMMUNITY SERVICE

*
Yes
No

History with Legal System

*
(exclude minor traffic violations for which the fine was $200 or less and any offense that was finally settled in a Juvenile Court or under a Welfare Youth Offender Law)
Yes
No
Please enter (dates, county, disposition)

VOLUNTEER OPPORTUNITIES

* (check all that apply)
Administration
Childcare Playtime
HEARTeam
Hotline
Hope's Closet
Shelter
Special Projects

VOLUNTEER AVAILABILITY


(check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
*
Mornings
Afternoons
Evenings
*
Yes
No

WE WANT TO HEAR ABOUT YOU!

CONSENT

By submitting this application, I consent to a background check and authorize any person or organization listed in the application to furnish any information they may have concerning me to the Women’s Center of East Texas. I understand that the information provided by me may be used for the purpose of determining my eligibility. I hereby release, indemnify, and hold harmless any entity, employer, and person furnishing or receiving records and information about me.