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Home
What We Do
Gratitude Gallery
Wish List
Donate
Volunteer
Stories
Community
Newsroom
About
Contact

Volunteer Application Form

OPERATION EMPOWER: Liberty Recovery

Volunteer Application

PERSONAL INFORMATION

First Name

Middle Name

Last Name

Phone

Street Address

Apartment (if applicable)

City

State

Zip Code

Date of Birth

BACKGROUND INFORMATION

Employment

Education

Do you have prior volunteer experience?

Yes

If yes, please describe.

Do you have experience with people in recovery?

Yes

If yes, please describe.

What skills or expertise do you have that could help the organization? (e.g., leadership, event planning, technical skills)

INTERESTS + AVAILABILITY

What areas of our organization are you most interested in volunteering for? Please check all that apply.

Administrative Support

Cleaning / Light Maintenance

Community Outreach

Education + Training

Event Planning + Day-Of Help

Fundraising

Groundskeeping

IT + Data Management

Marketing + Communications

Mentoring

Music

Social Media

Transportation

Other. Please specify below.

Other area(s) of interest, if indicated above.

How many hours per week are you able to volunteer?

1-3 hours

4-6 hours

7-10 hours

More than 10 hours

What days + times of the week are you available? (Select all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please indicate times available during each day.

Are you open to volunteering for special events or projects that may require additional time commitment?

Yes

PERSONAL MOTIVATION

What led you to want to help us? If you’re willing to share, are you in recovery?

Do you have a passion to help people in need, especially those in recovery?

Do you have any specific goals or objectives for your volunteer work?

ADDITIONAL INFORMATION

Do you have any restrictions or accommodations – health, legal, religious, etc. - we need to be aware of?

Yes

If yes, please specify.

How did you hear about our volunteer opportunities?

Is there anything else you would like us to know about you?

CONSENT + AGREEMENT

By submitting this application...

I affirm that the facts set forth in it are true and complete.

Yes

I consent to having my information stored and used by the organization for volunteer coordination purposes.

Yes

If I join as a volunteer, I agree to having a background check done.

Yes

Your Full Name

Your Digital Signature

Today's Date

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Home
What We Do
Gratitude Gallery
Wish List
Donate
Volunteer
Stories
Community
Newsroom
About
Contact

Home
What We Do
Gratitude Gallery
Wish List
Donate
Volunteer
Stories
Community
Newsroom
About
Contact

OFFICE HOURS:

Monday-Friday: 8a-5p
By appointment

Visit Us

2216 White Street

Dubuque, IA 52001

Call Us

CALL: 563.213.5552

Email Us

KIMBERLY@OPERATIONEMPOWER.ORG

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