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Volunteer / Volunteer Application
Volunteer Application
Please complete the form below as the first step of the Volunteer Application Process. Submitting this application does not guarantee an immediate role in our Volunteer Program, but allows us to accurately compare your qualifications, skills, and interests, with our current volunteer needs. In the event that we do not currently have a volunteer position in your area of qualification/interest, we will hold on to your initial Volunteer Application and contact you as those positions become available.

*Volunteers must be 18 and older.

*Please be aware that all medical positions require the sufficient credentials, licensing, and experience.

*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 Suzy Lee, Volunteer Coordinator at (760) 448-2021 or suzy@freshstart.org.

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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)*
Educational Background
Highest Degree Attained:*
If Currently Enrolled in School:
Name of School Attending & Area of Focus:
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:
Skills and Interests
Do you speak another language other than English? If so, please list below:
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 qualification(s) (check all that apply):






Health Background
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:*