Follow Me on Pinterest
spacer
Volunteer / Volunteer Application
Volunteer Application

All volunteers must complete the General Volunteer Application Form below before beginning to volunteer with Fresh Start Surgical Gifts. After you complete the form, you will receive an email with next-step instructions specific to your volunteer interest area.

Make sure to read all of the Volunteer Opportunities before filling out the application form to find the best volunteer match specifically for you. 

*All volunteer opportunities take place in San Diego County, California. Please only apply if you have reliable transportation to San Diego on the weekend of the Surgery Weekend or Dental Clinic.

If you have any questions, please contact the Volunteer Coordinator at (760) 448-2021 or volunteer@freshstart.org.

spacer
 
Salutation*
Last Name*
Middle Name
First Name*
Mailing Address*
City*
State*
Zip Code*
Phone Number (Home)
Phone Number (Work)
Phone Number (Cell)
E-Mail (Please enter ONLY one e-mail address & no additional text)*
Significant Other's Name:
Significant Other's Phone Number:
Educational Background
Current Educational Level:


If Currently Enrolled in School:
Name of School Attending:
Academic Year
I need volunteer hours for school/college credit
If yes, How Many?
Employment Background
Please complete with current/most recent employer for 3 years
Medical Group Affiliation
Employer (1):
Position:
Phone:
Length of Employment:
Primary Responsibilities
Employer (2):
Phone:
Position:
Length:
Primary Responsibilities:
Employer (3):
Phone:
Position:
Length of Employment:
Primary Responsibilities:
Personal References
Please provide contact information on 2 references (excluding relatives and roommates) who have known you for more than 2 years
Name (1):
Relationship:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Name (2):
Relationship:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Skills and Interests
How did you hear about Fresh Start?
Please describe how we could best use your skills and talents that would allow us to form an enriching and long lasting volunteer relationship...
Please mark your areas of interest (check all that apply):






Health Background
Physician's Name:
Office Phone:
Please list any medications you are currently taking:
Do you have any allergies? If yes, please list:
Are there any health related issues that may limit your ability to volunteer?
If yes, please describe:
Electronic Signature
By checking the box below, I certify that all information stated in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration as a volunteer and may result in my immediate dismissal if discovered at a later date. I authorize and release personal references, employers (past and present), and if necessary, other applicable entities to answer questions in regards to my volunteer work, employment, ability, character, medical, and emotional background and, if applicable, driving history.*
Type Full Name:*