DMCC Volunteer Application

First name

Last name

Address

Email

Phone

Birthday

Month

Day

Year

Do you have previous long-term volunteer experience (assignments 6 months or longer?)

Yes

No

If you have previous volunteer experience, please describe below:

If you are new to DMCC please provide a short summery of your background. (e.g. employment, volunteer activities, and connections to the Del Mar area)

If you have a way that you can help DMCC that is not listed above, please describe it here.

In case of an emergency while volunteering, please list someone in the field below that we may call upon your behalf.

Name:

Relationship

Phone

Email

The following information is required as a condition of our non-profit insurance. All Information is confidential and does not necessarily exclude you from volunteering.

Would you consent to a fingerprinting and background check?

Yes

No

Have you had a DUI or moving violation in the last 5 years?

Yes

No

Have you been convicted of a misdemeanor or felony?

Yes

No

Have you been treated for substance abuse or mental illness?

Yes

No

If you said yes to any of the above, please describe:

Why are you interested in volunteering for DMCC?

Once we have processed this form we will be in contact with you to discuss next steps and schedule an interview and training.

(858) 792-7565

DMCC Volunteer Application