Volunteer Application

Your Consent to Use Electronic Signature and Electronic Delivery of Documents or Communications.  By clicking “I Agree” at the bottom of this page, you consent to use your electronic signature to sign any document or communication and to receive electronic delivery of any document or communication.  You understand that your electronic signature is legally binding, just as if you had signed a paper document.  You further agree that your computer or other device satisfies applicable hardware and software requirements and that you have provided FIAMC with a current email address at which we may send you electronic records and communications. Volunteers are instructed not to share your name or any information about you that would identify you to persons not involved with your care without your permission. To help us meet your needs, we request you give permission to authorize program staff, community agencies, and volunteers about your health status, history, and current needs, to provide you with the best service possible. I understand the screening requirements mentioned above and authorize Faith In Action of Marathon County, Inc. to conduct a National Criminal Background check. I understand under penalty of law, the information provided above is truthful and accurate to the best of my knowledge and that knowingly providing false information or omitting information may result in a forfeiture of up to $1,000.00 and other sanctions as provided in HFS 12.05 (4), Wis. Adm. Code.

Faith in Action of Marathon County, Inc.

Volunteer Contact Information

Contact Information

Address Information

Additional Information

Emergency Contact

Volunteer Availability

Please Check All Volunteer Services of Interest

General Volunteer Tasks

Transportation Services

Volunteer Drivers Only

Background Check Information

Please Read the Confidentiality Agreement Below and Check the Box If You Agree