Volunteer

Volunteer Interest Form

Completion of this form is the first step in the volunteer application process to become a Chicago Lighthouse volunteer. Upon receiving your form submission, our volunteer coordinator will contact you within two weeks to follow up.

1 Basic Information

2 General Questions

3 Personal and/or Professional References

Name*

First

Last
Are you 18 or older?*
All Chicago Lighthouse volunteers must be 18 or older to participate.
Address*

Street Address

Address Line 2

City

State

ZIP Code
Email*
Phone*
Birth Date:*
Would you like to be added to our mailing list?*
- Yes
- No

Please list an emergency contact:
Name*

First

Last
Phone*
Email
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Reference #1
Name*

First

Last
Email
Phone*
Reference #2
Name*

First

Last
Email
Phone*
Reference #3
Name

First

Last
Email
Phone*
Volunteer Signature Forms

1) Policy for a Harassment-Free Workplace
2) Policy for a Drug-Free Workplace
3) Understanding of Voluntary Service
4) Understanding of Policies and Procedures
5) Consent to Obtain Reports
File
Untitled
Website
Name
This field is for validation purposes and should be left unchanged.

Volunteer With Us

Volunteer Interest Form

Please list an emergency contact:

Reference #1

Reference #2

Reference #3

Volunteer Signature Forms

Related Links

Volunteer With Us

Volunteer

Volunteer Interest Form

Please list an emergency contact:

Reference #1

Reference #2

Reference #3

Volunteer Signature Forms

Related Links

Veterans Login