* Volunteer Position:
Please read this notice before completing application.
Thank you for your interest in volunteering for the Wilder Foundation. Please fill out this form as completely as
possible. None of the questions are intended to imply any limitations or discrimination. Because many of our
programs work with vulnerable youth or adults, you may be asked to give your permission for Wilder to
conduct a background check. All background checks must be completed before you would be accepted as a
volunteer. By completing this application, there is no assurance of being accepted as a volunteer or that
volunteer positions are available.
* Name:
* Date of Application:
* Address:
* Daytime Phone:
* Evening Phone:
* Email address:
How did you hear about volunteer opportunities at Wilder?
Reason for volunteering
What date are you able to start your volunteer experience?
Please indicate the day(s)/time(s) you are available to volunteer:
Monday (AM)
Monday (PM)
Tuesday (AM)
Tuesday (PM)
Wednesday (AM)
Wednesday (PM)
Thursday (AM)
Thursday (PM)
Friday (AM)
Friday (PM)
Saturday (AM)
Saturday (PM)
Sunday (AM)
Sunday (PM)
Are you a current or former employee of the Wilder Foundation?
If yes, list location/program:
PLEASE READ CAREFULLY AND EXAMINE YOUR APPLICATION BEFORE SUBMITTING.
I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge.
I understand that any falsification, omission, misrepresentation, or concealment of information on this
application may be sufficient grounds for disqualification from further consideration for the volunteer position
or termination of the volunteer position and that the Foundation shall not be held liable in any respect if my
volunteer position is so denied or terminated.
I authorize the Foundation to verify the information contained
in this application and to investigate my personal or employment history. I also authorize any former school,
employer, person, firm, corporation, credit agency, or government agency to give the Foundation information
they may have about me. In consideration of the Foundation’s review of this application, I release the
Foundation and all providers of information from any liability as a result of furnishing and receiving this
information.
I further agree that, if selected for the volunteer position, I will conform my conduct to Foundation rules and
understand that unless otherwise specifically agreed to in writing, the volunteer relationship can be
terminated at any time with or without cause, and with or without notice, at my option or the option of the
Foundation. I understand that this application and any manuals or handbooks that may be distributed to me
during the course of my volunteer experience shall not be construed as a contract.
PattiJo VerdejaAdministrative Specialist
E-mail: pjm1@wilder.orgPhone: 651-280-2457