Volunteer Application

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 Information
Name (Last)
First
Middle
Date of Birth (mm/dd/yyyy)
MM
DD
YYYY
Sex
Home Phone
Cell Phone
Best time to reach you
Email
Enter Email Confirm Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Occupation
Employer/School
Other
How did you hear about volunteer opportunities at The Arc Baltimore?
- Fliers
- Internet
- Newspaper
- Volunteer Center
- Word of Mouth
- Other

Emergency Contact
In event of an emergency notify:
Relationship
Day Phone
Evening Phone
Signatures
I 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.
Signature
Date
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.

Personal Information

Name	Address	Phone	Email