WWW Volunteer Application

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Volunteer Application

WWW Women's Workforce WEB
Post Office Box 901
Greensboro, North Carolina 27402
(336) 370-4687
E-mail: WomenWorkWeb@aol.com
Website: womenworkforeceweb.freewebtools.com
PLEASE PRINT                                                                                      Date                                          
                                                                                                                DOB                                          
Name                                                                              Phone                                                              
Address                                                                  City                            State                 Zip                   
Nearest Relative                                                                                      Phone                                        
Social Security Number                                         TANF Assistance?                                                      
High School                                                  Year Graduated                             GED                               
Are you now employed?                         In School?                          In a Training Program?                     
Employment History
Name and Address                              Supervisor                     Job                            Reason for Leaving
                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                  
Have you ever been convicted of a crime or pleaded guilty to a crime?                                                       
Have you ever been in the military?                      Were you ever convicted in a court martial?                    
Do you have any disabilities that would prevent you from performing some jobs?                                         
In case of emergency call:                                                             Phone                                              
References:
Name                                               Address                                      Phone           
                                                                                                                                                                  
                                                                                                                                                                  
                                                                                                                                                                 

I authorize investigation of all statements in this application. I understand that misrepresentation or omission of facts is cause for termination.
Signature                                                                                       Date                                                     

E-Mail:    womenworkweb@aol.com