Serving the Fox Valley, Green Bay, Oshkosh and surrounding communities.
A Program of Goodwill NCW

Volunteer Application

  • I. Identifying Information:

  • For Civil Rights Compliance Plan reporting, please fill in the gender, date of birth and race sections on this form.
  • II. Educational and Employment History:

  • Education

  • Employment

  • III. Other Experiences:

  • IV. Background Check Information:

  • V. References

  • List two persons who are not related to you, you have known at least one year and who are willing to give a work-related reference on your current or past work performance. Please fill in complete email address as letters will be emailed to each person.
  • VI. Personal Information:

  • Answering yes to the above questions is not an automatic disqualification. As an agency committed to preserving the integrity of the Circles Program, these areas must be explored and are not intended to offend or invade the privacy of the applicant. My signature hereby certifies that all of the above statements are true to the best of my knowledge. I understand that any misrepresentation may justify my dismissal from the Circles of Support. I understand and agree that any and all knowledge or information obtained in the course of my work with the Circles of Support, with respect to the conduct and details of the participant and other volunteers will be forever held inviolate and that I will not impart the knowledge acquired outside of Circles policy. I understand that I personally assume all responsibility for the volunteer relationships between myself and the other Circles members and participants. I agree to hold the Circle of Support, the Department of Corrections, and Goodwill NCW harmless for any actions of a participant, member or myself.
  • In case you should choose to transport someone, and/or to receive mileage compensation, we must also have your certificate of insurance on file.