Volunteer Application

Thank you for your interest in volunteering. Our volunteers are the heart of our mission, providing the compassionate presence and support that allows healing to begin. By sharing your time and empathy, you help create a safe space for those navigating loss. We are deeply grateful you are considering joining us in this meaningful work.

My Real Bear Name

Full Name

Mailing Address

City

State

Zip

Primary Phone

Alternative Phone

Email Address

What volunteer role would you prefer? (Some level of training is required for each position)

*Any volunteer working with our participants will be required to complete a background check.

If other role, please specify

How often are you able to volunteer?

If other availability, please specify

Do you have any disabilities which will limit your type of volunteer service?

If yes, please explain

I am over 18 years old

Have you been convicted of a crime?

How did you hear about this volunteer opportunity?

Reason you are applying for volunteer work:

Please list any current or prior volunteer experiences, such as clubs, church, school projects, etc.

Please list any current or prior work experiences:

Education, Special Training:

Professional Licensure/Certification:

Reference Full Name

Reference Title

Reference Email Address

Reference Phone

I hereby agree that all information included in this application form is true and complete. I understand that incomplete applications will not be considered, and that providing false information is grounds for immediate disqualification from application process, or immediate dismissal if the falsehood is discovered after placement. If placed, I will volunteer on a regular basis, be dependable, and honor all Lory's Place volunteer policies and guidelines. I hereby authorize present and former employers, associates, schools, credit organizations, law enforcement agencies, military organizations, and/or other persons to provide Lory's Place any information which may aid in determining my suitable volunteering. It is clearly understood that there is no employer/employee relationship and that as a support volunteer, I am not entitled to compensation or fringe benefits of any kind for voluntary services.

Signature (Type Full Name)