Tanager Place

Helping Children & Families Since 1879

Volunteer Application

Volunteer Application PDF

Information About You



Name/Location Highest Degree
High School:


Have you ever been convicted of a crime, received a deferred sentence, or do you have
a founded child abuse investigation?

References Please list 5 people who have known you for at least one year.

I understand that
misrepresentation or omission of facts called for is cause for dismissal of volunteer. I also
understand that volunteering for Tanager Place is contingent upon a satisfactory completion of
background checks; ie., Child Abuse Registry, Dependent Adult Abuse, Sex offender, criminal
background. I give Tanager Place the right to call references listed. I acknowledge and agree
that I am not obligated, if called upon to perform volunteer services herein applied for and the
Tanager Place is not obligated to seek or assign me a volunteer position.