Volunteer

Cornerstone Montgomery relies on volunteers like you to help serve Montgomery County’s most vulnerable citizens.

The vision of Cornerstone Montgomery’s Volunteer Program is to afford individuals and groups the opportunity to participate in our mission. As a volunteer, you will enrich the lives of our clients and enhance the work that we do everyday! Together, we will help create a stronger, healthier community!

Volunteer Opportunities Include:

Special Events
Gardening/landscaping
Administrative support
Business Mentor

View our volunteer handbook

Ready to begin your volunteer experience? Complete our volunteer agreement below

"*" indicates required fields

Date

MM slash DD slash YYYY

Time

Hours

Minutes

AM/PM

Volunteer/Group Information

Name of Volunteer or Group*

Point of Contact*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Information

Name*

Relationship*

Phone*

Tell Us About Yourself

Please share why you are interested in volunteering with us*

Your Date of Birth*

MM slash DD slash YYYY

Gender

Male

Female

Other/Prefer Not To Answer

Your Availability

Preferred Orientation Date*

MM slash DD slash YYYY

Date available to start volunteering*

MM slash DD slash YYYY

Please indicate the days and times you are available

Day

Time

Volunteer Interests (please check all that apply)*

Activities/Outings

Special Events

Gardening/Landscaping

Administrative Support

Business Mentor

Other

Volunteer interests not listed (please specify)*

Highest Degree Attained*

High School Diploma/GED

Some College

College Graduate

Post Graduate Degree

Please list your current and previous 3 jobs (if not currently working, please list your last 4)

Please share any hobbies, special skills, interests or training you have*

Please share any languages other than English you speak and your level of proficiency

Where else do you currently volunteer, or where have you volunteered in the past?

Do you have limitations that may prevent you from performing any volunteer task?

Yes

Please explain the limitations that may prevent you from performing any volunteer task.

Do you have or have you recently been exposed to any infectious disease?*

Yes

Please explain if you have or if you have been recently exposed to any infectious disease.

Have you ever been convicted of a crime?*

Yes

Please explain if you have ever been convicted of a crime.

Do you have a family member presently or formerly working at Cornerstone Montgomery?*

Yes

Employment Status*

Current Employee

Former Employee

Please list names and departments

Agreements and Authorizations

Please select all that apply

I understand the importance of consistency and agree to be prompt on my scheduled days. If I cannot volunteer on a given day, I will notify the department to which I have been assigned.

I authorize Cornerstone Montgomery to secure an Investigative Criminal Background Check, if applicable

I understand that Cornerstone Montgomery assumes no liability while I volunteer on the premises or take part in volunteer activities

I agree to abide by the Cornerstone Montgomery requirement for confidentiality. This means that I will NOT take pictures of clients and will ONLY share private information with pertinent professional staff members, including the Volunteer Coordinator and/or staff where I am assigned

I hereby affirm that my answers to the foregoing questions on the volunteer agreement as true and correct and taht I have not knowingly withheld any fact or circumstance which would, if disclosed, affect my agreement unfavorably

(OPTIONAL) I grant permission to Cornerstone Montgomery to use my name, voice, verbal statements, portraits or picture (video or still) in newspapers, magazine, television, website and other electronic media including social media and the internet

To stay in touch with you, please let us know all the ways you would like to hear from us:

Online Marketing

Signature

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