Volunteer With Us!

Online Volunteer Application
Thank you for your interest in helping neighbors in need! Filling this out is not a commitment, just a way for us to begin getting to know you. If you don't have time to finish this form right now, you can send it to yourself at the bottom of this page!

*Some information is required, but if you have questions simply email volunteer@scmafc.org!
Name*
First Last
Address*
Street City State Zip / Postal Code
Phone (Home)*
Phone (Cell)
Email*
Date of Birth*
Month
Day
Year
How did you hear about the Shepherd's Center of McLean‐Arlington‐Falls Church?*
Please enter the name of the church
Please enter the name of the current volunteer
Please enter the name of the Social Worker/ Discharge Planner
If other, please explain
Volunteer Interests
(check all that apply, this is not binding in any way)
- Medical appointment driver
- Grocery shopping driver
- Website maintenance (WordPress)
- Ride coordinator (assists w/scheduling rides for clients, periodic assignment)
- Handy helper (minor home repairs, changing light bulbs, etc)
- Board / committee / admin support (don't have to join the Board)
(check all that apply, this is not binding in any way)
Experience & Background
General interests, skills, volunteer experience, languages, and hobbies:*
Screening Information
Do you have a valid driver’s license?*
Driver's License Expiration date
MM slash DD slash YYYY
Auto Insurance Company
Insurance Expiration date
MM slash DD slash YYYY
Have you ever been convicted for violation of any laws, traffic or otherwise? *
If yes, please explain
Do you have any physical condition that may limit your volunteer activities?*
If yes, please describe
Emergency Contact
Full Name*
Phone*
Relationship*
I confirm that all of the above information is true and correct to the best of my knowledge. I understand that a criminal background check (and for volunteer drivers - a driving record check) will be conducted. If volunteering to drive, I agree that I am responsible for maintaining a valid driver's license & current liability insurance on my vehicle, and am obligated to notify Shepherd's Center of McLean-Arlington-Falls Church of a change in status of either.
Do you agree to the terms above?*
- Yes
Name of Applicant*
Date*
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

the word "volunteer" with the letters cut out and pinned to a corkboard

Everyone’s help is appreciated. Including yours!

If you think you may be interested in volunteering, please fill out and submit the Volunteer Form on this page. You can also call us at 703-506-2199 and leave a message for our volunteer coordinators or download the PDF application and mail the completed form to Shepherd’s Center of McLean‐Arlington‐Falls Church, 1205 Dolley Madison Boulevard, McLean, VA 22101.

Questions or comments? Email us contact@scmafc.org or call our office at 703-506-2199.

Volunteer With Us!

Online Volunteer Application

Volunteer Interests

Experience & Background

Screening Information

Emergency Contact