CORPORATE VOLUNTEER ENROLLMENT

(610) 834-1040

HOME
VOLUNTEER OPPORTUNITIES
COMMUNITY RESOURCES
SUPPORT RSVP
ABOUT RSVP

Corporate Volunteer Enrollment

Volunteer with RSVP

Thank you for your interest in volunteering with RSVP.
Volunteers must be Pennsylvania residents and at least 18 years old.

Corporate Volunteer Enrollment Form

Salutation

First Name

Legal Name

Middle Initial

Last Name

Other Names (Maiden, aliases, nicknames)

Street Address

City

County of Residence

Birth Date

Ethnicity

State

Phone Number

Zip Code

Cell Number

Email Address

Sex

Veteran Information

Are you a Veteran? *

Yes

Is anyone in your household a Veteran? *

Yes

Education, Experience, Skills and Interests

Level of Education / Professional Qualifications

Employer

Occupation

Volunteer Experience

Foreign languages spoken

RSVP Programs of Interest

First Choice

Second Choice

Other (Please specify here)

Can you lift 20 lbs? *

Yes

Additional Information

How did you learn about RSVP?

Please specify here:

Effective January 1, 2015, under certain conditions, Pennsylvania law requires self-certification or FBI fingerprint-based background checks for volunteers working with children and vulnerable adults. To help safeguard everyone's safety, RSVP conducts criminal background checks on all volunteers, using information provided on this enrollment form. Please answer the following questions.

Do you consent to RSVP conducting criminal background checks? *

Yes

Do you have a criminal history of a felony within the last five years? *

Yes

Have you been a resident of the State of Pennsylvania continuously for a minimum of ten years? *

Yes

As an RSVP volunteer, I understand and accept responsibilities associated with my position. General responsibilities are outlined in the RSVP Volunteer Handbook. There may be additional program-related requirements.

I grant permission to RSVP inc. to use photos taken of me for use in RSVP publications, newspaper articles and other forms of marketing and identification materials.

Electronic Signature Agreement

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide RSVP regarding and agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or third party verification is necessary to validate your E-Signature.

Agreement *

I Accept

I Decline

Your initials below represent your signature

Date

In order to process this enrollment form, we need a copy of a valid, State issued photo ID to verify your identification. Please upload your ID.

Upload File

Upload supported file (Max 15MB)

The file must be 15MB or smaller to be uploaded. If you scan your ID, please select a resolution of 300 DPI or lower. If you photographed your ID with your cell phone / tablet, there are apps you can obtain to reduce the file size before attaching.

If you refresh the page, it will remove the attached file but also reset the form back to it's initial state.

Did you attach your Identification? *

Yes

Thanks for submitting! Someone will be in touch with you shortly.