Volunteer Application | The Douglas Center
847-674-1921 Phone
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volunteer application

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Volunteer Application

* indicates a required field








How did you hear about The Douglas Center? (Please select one)

   Company Website

   Newspaper or Online Ad:    Source:  

   Employee Referral:    Employee:  




*Please indicate the times available below (i.e. 9am-4pm):
Sunday Monday Tuesday Wednesday Thursday Friday Saturday


Indicate below the area(s) in which you are interested.

Volunteering Internship Program
Fundraising Counseling/Therapy
Clerical/Admin. Duties Intake and Assessment
Sewing Program Case Management    
Special Events  
Arts and Crafts  
Money Management  
Community Integration  
Thrift Store/Deli/Cooking    

Education (Put N/A if not applicable)

Attended Name/Address Years
High School*

Personal/Professional References*

Please list 2 references that are familiar with your work and/or volunteer experience. (References should not be relatives):

Name Relationship Phone Number

Please Read carefully and sign below

I understand that any false, misleading or incomplete statements made as part of this application or omission of information may be considered sufficient reason for immediate dismissal.

I authorize appropriate personnel of the Agency to investigate my references and to make inquiries of courts and law enforcement agencies resulting from such investigations. Information furnished or recovered as a result of any inquiry will not necessarily preclude my acceptance into the program, but will be considered part of an overall evaluation of my qualifications.

I understand that nothing on the application is intended to create or imply a contractual relationship, if accepted. I understand that the volunteer/internship program is at will and can be terminated with or without reason at any time. Only a written agreement signed by the President & Chief Executive Officer can change my status. Upon termination, I authorize the release of reference information on my work and I hold the Agency harmless for the release of the information.

I understand that I will not be compensated for any hours worked for the Volunteer and/or Internship Programs at The Douglas Center.

Applicant Signature (typed):