Goodwill Industries - Suncoast Inc.

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Online Volunteer Registration

People interested in volunteering for Goodwill may register online using the form below.

PLEASE READ THE FOLLOWING INFORMATION BEFORE PROCEEDING:
This form is NOT intended for the following potential volunteers:

Court-ordered community service – Please visit any Goodwill location between 9 a.m. and 4 p.m. Monday through Friday to complete registration forms for court-ordered community service. All applicants must bring with them two forms of acceptable identification, any paperwork provided by referring agency, and a valid insurance card if from Salvation Army.
Individuals mandated through Welfare Transition offices to provide community service as part of their benefit requirements – Please provide paperwork from your referring case manager and complete the required registration form at any Goodwill location between 9 a.m. and 4 p.m. Monday through Friday.
Individuals referred by Senior Citizen organizations – A referral from your organization is mandatory before you can be accepted for volunteer service. For more information, please contact our Community Service Program Coordinator for Senior Programs at (727) 577-6411.

EQUAL OPPORTUNITY

Qualified volunteer applicants are considered for voluteer opportunities without regard to race, color, age, sex, religion, national origin, sexual orientation, marital status, veteran, handicap or disabled status.

All citizens are afforded the right to privacy. At Goodwill-Suncoast, we take measures to protect the privacy of all individuals, whether they are employees, clients, or volunteers. The personal information on this form and other personal information provided to Goodwill-Suncoast will not be published or disseminated publicly without your consent. From time to time, opportunities are presented for photos, articles and/or media coverage. You may decline to be pictured or referred to in any publication, story, or photograph within the control of Goodwill Industries-Suncoast, Inc.

Demographics

First Name:

Last Name:

Address:

Date of Birth:

SSN #:

City:

State: Zip:

Home Phone #:

Cell Phone #:

Email:

Emergency Contact:

Phone #:

Skills and Interest

Education background:
Current Occupation:
Hobbies, skills, interests:
Previous volunteer experience:

Preferences in Volunteering

Is ther a particular type of volunteer opportunity in which you are interested? (check all that apply):

	- Assisting a staff person
	- Assisting on special events
	- Providing service to clients
	- Public speaking, fundraising, etc.
	- Reading and distributing books to children - BookWorks
	- Sorting children`s books for BookWorks
	- Other
Please specify:

Is there a person or group with whom you are particularly interested in volunteering? (check all that apply):

	- Adults
	- Agency Staff
	- Children
	- No Preference
	- People with disabilities
	- Other
Please Specify:

Are there any groups with which you would not feel comfortable volunteering?

	No
	Yes
Please specify:

Availability

At what times are you interested in volunteering?:

	- Flexible
	- Prefer days
	- Prefer weekends
	- Other
Please Specify:

Do you have a geographic preference as to where you volunteer?:

	No
	Yes

What form(s) of transportation will you use to arrive at volunteer activities?:

	Drive own vehicle
	Public Transportation
	Ride with a friend

Background Verification

Have you ever been convicted of a criminal offense?:
Have you ever been charged with neglect, abuse, or assault?:
Has your driver's license ever been suspended/revoked in any state?:
Do you require any reasonable accommodations to volunteer at Goodwill?:
How did you hear about Goodwill Industries-Suncoast?:
Referral Details:

Please list name and phone # of three non-family references whom we might contact:

Reference #1:

Phone #:

Reference #2:

Phone #:

Reference #3:

Phone #:

Voluntary Self-Identification Form
(For Affirmative Action Plan Purposes you are requested to voluntarily provide the information
requested below. Failure to respond will in no way affect the application process)

Goodwill Industries-Suncoast, Inc. is an equal opportunity employer and is subject to certain reporting and affirmative
action requirements. Qualified applicants are considered without regard to race, color, ancestry, ethnicity, religion, age,
sex, national origin, disability, veteran status, sexual orientation, or any other classification protected by federal, state, or
local law.

The information requested below is used by Goodwill Industries-Suncoast, Inc. to maintain records required of employers doing business
with the federal government. In an effort to comply with such requirement, we invite you to complete this form.
Providing this information is strictly voluntary and will not be used as a basis for employment decisions. A refusal
to complete this form will not subject you to any adverse treatment. The information provided will be held in the strictest
confidence, and will be maintained separately from the application.

Section 1: General Applicant Information

Gender: Male Female

Section 2: Please check one of the following Race/Ethnic Categories

Race or Ethnic Identity

	Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
	White - A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.
	Black or African American - A person having origins in any of the Black racial groups of Africa.
	Native Hawaiian or Other Pacific Islander - A person having originss in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
	Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent include, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Phillipine Islands, Thailand and Vietnam.
	American Indian or Alaskan Native - A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment.
	Two or More Races - All persons who identify with more than one of the above races.
	I do not wish to Self-Identify

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GOODWILL INDUSTRIES-SUNCOAST, INC.

Please direct comments about this site or Goodwill-Suncoast to gw.marketing@goodwill-suncoast.com