Volunteer Application Volunteer Application Step 1 of 4 25% Thank you for your interest in becoming a volunteer or intern at The Arc Baltimore. Complete all of the fields below and our Director of Volunteers Debbie Staigerwald will reach out to you to begin the process that includes a background check.Personal InformationName (Last)FirstMiddleDate of Birth (mm/dd/yyyy) MM DD YYYY SexHome PhoneCell PhoneBest time to reach youEmail Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Current OccupationEmployer/SchoolOtherHow did you hear about volunteer opportunities at The Arc Baltimore? Fliers Internet Newspaper Volunteer Center Word of Mouth Other To help us match you with a volunteer opportunity that best fits your preferences, time commitment, interests, and skills, please answer the following questions.Briefly explain why you would like to volunteer:List the volunteer position(s) for which you are applying:Do you prefer: a regular/ ongoing commitment a one-time special event non-paid internship Indicate day(s) and time(s) you are available to volunteer:Weekdays: Monday Tuesday Wednesday Thursday Friday Times available during weekday: Morning Afternoon Evening Weekends Saturday Sunday Times available during weekend: Morning Afternoon Evening Education(check last year completed):Pre-college: grade 1 grade 2 grade 3 grade 4 grade 5 grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 College: 1 2 3 4 Master's Degree Doctorate ExperienceProfessional / Work ExperienceVolunteer ExperienceDescribe any special skills, training, or professional licensing that you have:Describe any areas of interest that you are hoping to learn more about by volunteering:ReferencesNameAddressPhoneEmail (List three (3) people who are not related to you who have direct knowledge of your work and volunteer experience. Complete contact information is required.) Emergency ContactIn event of an emergency notify:RelationshipDay PhoneEvening PhoneSignaturesI authorize The Arc Baltimore to contact the listed references and to verify the information provided on this application. I understand that misrepresentation or omission of facts requested is cause for non-placement as a volunteer. If placed as a volunteer, I agree to abide by the philosophies of The Arc Baltimore and to fulfill the volunteer responsibilities to the best of my abilities.SignatureDate Date Format: MM slash DD slash YYYY Parent/ guardian's signature (if applicant is under age of 18)Date Date Format: MM slash DD slash YYYY This application is the first step in becoming a volunteer with The Arc Baltimore. You may be required to have a criminal background check completed, other tests and other trainings, depending on the volunteer position you are applying for. . The Arc Baltimore does not discriminate on the basis of race, color, religion, national origin, age, gender, disability, marital or veteran status, political affiliation, sexual orientation, or any other legally protected status.