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New Volunteer Application

Potter's House Volunteer Application

Thank you for your interest in Potter's House! You will need to provide some information about yourself, the names and contact information of 3 references, as well as answer some questions to help us get to know you!

Note:
If you are interested in volunteering at the Thrift Store, you do NOT need to complete this application. Simply send an email to fayetteville@pottershousethrift.com OR siloam@pottershousethrift.com with your name and availability. 
1. Please fill out the information below.
This question requires a valid email address.
This question requires a valid number format.
This question requires a valid date format of MM/DD/YYYY.
calendar
2. Address (Where you currently live and/or receive your mail)
3. Do you live at this address year round?
4. If you do not live in Northwest Arkansas full time, please provide a mailing address where you can be reached? (i.e. You stay with your parents at another location during University breaks)
4. What program(s) are you interested in serving in?
  • * This question is required.
5. If you have already spoken or corresponded with a Potter's House staff member, please provide the staff members name below:
6. What days and times are you available to volunteer? Write the times in the boxes below for each day.
  • * This question is required.
  • * This question is required.
  • * This question is required.
  • * This question is required.
  • * This question is required.
  • * This question is required.
7. Do you have any experience working with children or teens?
8. Are you looking to volunteer to receive credit for a university class or sorority? *This question is required.
13. Please list 3 references:
Space Cell NameEmailPhoneRelationship
Personal Reference #1 (cannot be a family member)
Business/Professional Reference
Another Personal or Professional Reference (cannot be a family member)
14. Please provide some information on your educational background.
If you have any questions or issues with this application, please contact kelsey@pottershousekids.com