Beck's Place - Volunteer & Foster Application

Case Status
Case Type
Volunteer & Foster Application
Name

First NameLast Name
Preferred Name
Preferred Pronouns
Email
example@example.com
Address

Street Address

CityState / Province

Postal / Zip Code
Zip Code
Cell Phone Number
By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.Format: (000) 000-0000.
Home Phone Number
Format: (000) 000-0000.
How did you hear about us?
Have you volunteered with a non-profit organization before?
If yes, where?
Please list two references (non-family) that can help us understand how we can best work together.
Name, Address, Phone Number, and Relationship
Interested in:
If other, please explain:
Please share any additional information about your interests:
Interested in working with: (select all that apply).
Confidentiality
Volunteer agrees to maintain confidentiality with regard to Beck's Place clients, both humans and animals.
Volunteer agrees not to publish photographs, videos, images, or written commentary regarding Beck's Place clients, both human and animal, via public or marketing materials without expressed written consent from animal owners and Beck's Place.
Background Check Authorization
Do you have a valid Washington State Drivers License?
Full name as it appears on Drivers License.
Please provide any other names or aliases you have used.
Have you or anyone in your household ever been convicted of, or plead guilty to, any crime(s)?
If yes, please describe.
Are there any criminal charges pending against you or anyone in your household regarding any crime(s) involving or against a minor or involving animal cruelty?
If yes, please describe.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Drivers License #
State
Term Agreements

I certify that the answers are true and complete to the best of my knowledge. I understand that if this application leads to volunteer service with false or misleading information on my application or in the interview may lead to my release. I authorize Beck's Place to request a background check including through the Washington State Patrol.

I hereby provide Beck's Place with the information required to complete a background check with the Washington State Patrol. By signing below, I agree to release all parties and persons connected with the information request from claims, liabilities, and damages. I agree my volunteer service can be terminated without cause at my option or that of Beck's Place.
By signing, I agree to the terms above.
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Please note, if you are inquiring about a foster application, a team member from Beck's Place will be reaching out to schedule an interview soon.
Should be Empty:

Volunteer & Foster Application

Confidentiality

Background Check Authorization

Please note, if you are inquiring about a foster application, a team member from Beck's Place will be reaching out to schedule an interview soon.