Volunteer Application Form In submitting this form, you acknowledge New London Counseling Center's right to contact any references listed herein and release New London Counseling Center and all references listed from any liability arising from information exchanged regarding your history, qualifications or eligibility for volunteering at New London Counseling Center. Pre-volunteer screenings may include phone/in-person interviews and/or criminal and child abuse background checks for select volunteer positions. Personal affiliation with NLCC does not exclude eligibility for volunteer involvement, but may be considered in reference to volunteer placement Please share any other professional or civic groups you belong to: Highest Education Choose an option GED High School 2 yrs, College 4 yrs, College Masters Doctorate Other
Which committes(s) are you interested in?
How were you referred to New London Counseling Center? Are you or your next of kin a current or former patient of New London Counseling Center?
Please indicate your anticipated dates of volunteer commitment:
Please share any relevant special skills or experiences: Why would you like to volunteer with New London Counseling Center?
Please indicate if any of the following situations apply. If so, please send an email to firstname.lastname@example.org with details and a copy of the docket.
Please share the name, phone number, and email of two references along with their relationship to you. Anything else you would like to add? I consent to a criminal and child abuse background check if requested Submit my Application