Safe Avenues Willmar Shelter Volunteer Application

April 25, 2024, 6:47 pm

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File	#	Function
/home2/wilmshlr7/public_html/xedlib/h_data.php	1025	ErrorHandler
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/home2/wilmshlr7/public_html/xedlib/h_data.php	1025	stripslashes
/home2/wilmshlr7/public_html/admin_inc/seo.php	54	DataSet->GetCustom
/home2/wilmshlr7/public_html/index.php	13	require_once

Exit Site

24-Hour Crisis
1.800.792.4210
Free, confidential, available 24/7

Last Name:

First Name:

Middle Name:

Street Address:

City:

State:

Zip:

Email:

Phone:

Cell Phone:

Date available?

Desired Position:

Who Referred You?

Have you ever worked or volunteered for this agency? Yes No

If so, when?

Have you ever been convicted of a felony? Yes No

If yes, explain?

Education History

High School (last year completed):

Education Section 1

Name of institution:

Years Attended:

Major:

Degrees:

Education Section 2

Name of institution:

Years Attended:

Major:

Degrees:

Education Section 3

Name of institution:

Years Attended:

Major:

Degrees:

Previous Employment

Company

Address:

Date From:

Date To:

Supervisor:

Job Title:

Responsibilities:

Phone Number:

Previous Volunteer Experience

Do you have a valid driver's license?
Yes
No

Are you employed now?
Yes
No

May we inquire of your present employer?
Yes
No

Section 1

Company

Phone

Address:

Supervisor:

Job Title:

Responsibilities:

From:

To:

Section 2

Company

Phone

Address:

Supervisor:

Job Title:

Responsibilities:

From:

To:

REFERENCES

Name:

Address:

Phone:

Occupation:

Years Acquainted:

Name:

Address:

Phone:

Occupation:

Years Acquainted:

Name:

Address:

Phone:

Occupation:

Years Acquainted:

MILITARY SERVICE

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may results in my release.

Signature

Date

For spam control purposes, type the following characters in the box below: 75839

April 25, 2024, 6:47 pm

[Function is depricated.] stripslashes(): Passing null to parameter #1 ($string) of type string is deprecated
Error seems to be in one of these places...

File	#	Function
/home2/wilmshlr7/public_html/xedlib/h_data.php	1025	ErrorHandler
ErrorHandler
/home2/wilmshlr7/public_html/xedlib/h_data.php	1025	stripslashes
/home2/wilmshlr7/public_html/admin_inc/editor.php	243	DataSet->GetCustom
/home2/wilmshlr7/public_html/index.php	290	require_once