SPLA Volunteer Application

First Name

Last Name

Pronouns

Group/Organization Name

Answer only if you are volunteering with a group

Projected Number of Volunteers

If just yourself, write 1

Phone Number

Phone Type

Email

Date of Birth

Street Address

If you are volunteering with a group, you may include the organization's address

City

State

Zip

Do you have lived experience in homelessness?

Have you volunteered with Safe Parking LA before?

Select an option

If so, what activities did you participate in and when?

If other, please explain:

What volunteer activities are you interested in?

If you are a group, do you have a group project in mind? If so, please provide a brief description

{name}

Availability

[Multiple Select]

Location

Special Skills and Certifications

This could include education/certifications or skills that you would like to use to lead a workshop or to provide services to participants. For example: Barber, automotive technician, financial literacy

{name}

How did you learn about Safe Parking LA?

If other, please explain:

Please list any physical or sensory limitations

(At times, volunteers may be asked to pick up items heavier than 25 lbs. If you are unable to do this, please make a note of it so we can provide accommodations)

{name}

Please list anything else that you feel is important to know about you as a volunteer

{name}

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact City, State

I certify that all of the above information is true and complete.

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