Volunteer Application

Thank you for your interest in volunteering with North Carolina African Services Coalition! Please complete the application below to begin the volunteer process. After your application is completed, we will reach out to schedule your orientation and begin scheduling your volunteer shifts.

Your Contact Information

First Name *

Last Name *

Email *

Date of Birth

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Emergency Contact *

Emergency Contact Phone *

Emergency Contact Email

Gender

What are your preferred pronouns? The maximum length for the field What are your preferred pronouns? is 500 characters.

Volunteer Interests

What languages do you speak? * The field What languages do you speak? is required.

Area of interest for volunteering * The field Area of interest for volunteering is required.

Days Available to Volunteer * The field Days Available to Volunteer is required.

Do you have a vehicle available during shifts? * The field Do you have a vehicle available during shifts? is required.

Have you been convicted of a felony? * The field Have you been convicted of a felony? is required.

How did you hear about NCASC? * The field How did you hear about NCASC? is required.

Why are you interested in volunteering with NCASC? * The field Why are you interested in volunteering with NCASC? is required.

Employment History

Employer Name The maximum length for the field Employer Name is 500 characters.

Your Position or Title The maximum length for the field Your Position or Title is 500 characters.

Education History

Highest level of education completed? * The field Highest level of education completed? is required.

List any professional licensing that you have The maximum length for the field List any professional licensing that you have is 500 characters.

List any other education experience The maximum length for the field List any other education experience is 500 characters.

References

Please provide two professional references we can contact. If the person is retired, you may note "retired" before listing their past occupation in that field.

Reference's Full Name * The field Reference's Full Name is required.

Relationship * The field Relationship is required.

Occupation * The field Occupation is required.

Place of Employment & Position/Title * The field Place of Employment & Position/Title is required.

Reference's Email * The field Reference's Email is required.

Reference's Phone Number * The field Reference's Phone Number is required.

Second Reference's Full Name * The field Second Reference's Full Name is required.

Second Reference Relationship * The field Second Reference Relationship is required.

Second Reference's Occupation * The field Second Reference's Occupation is required.

Second Reference's Employer & Position/Title * The field Second Reference's Employer & Position/Title is required.

Second Reference's Email * The field Second Reference's Email is required.

Second Reference's Phone Number * The field Second Reference's Phone Number is required.

Verification of Information Provided

By typing my name below, I certify that information contained in this application is true and complete. I understand that false information may be grounds for not selecting me or for immediate termination of volunteer experience at any point in the future if I am chosen. I authorize the verification of any or all information listed above.

Type Your Name Here * The field Type Your Name Here is required.