Phone number *
Phone type Mobile Home Work Other
Preferred method of contacting you? *
Select… Phone Call Text Email Other
Marital status *
Select… Single Married Widowed Divorced
Digital Signature (First Last) *
Your digital signature provides us consent to perform a background check. You will be placed in our "new volunteer workflow" and will be contacted shortly by a member of our team. Thank you for your desire to serve at LoveINC of Clackamas County.
Gender *
Select… Male Female
Do you speak any languages other than English?
Select… Spanish Russian Ukrainian Other
Area of Service *
What areas would you be interested in serving in?
What days are you available? *
This reflects the area you selected to serve. (i.e. is Tuesday, Thursday or both better to work in the Call Center)
How did you hear about LoveINC? *
States Resided in the last 10 years *
Select… AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NH NE NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Other
Have you ever been convicted of a crime? *
Select… Yes No
Middle Name *
We use your middle name for background check accuracy.
If you do not have a middle name, write " N/A".
Other Names Used
Maiden Name, Alias, etc.
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