American Red Cross
Southern Nevada Chapter
Serving Clark, Lincoln, Nye, and Esmeralda Counties
   
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Our Mission 
The American Red Cross, a humanitarian organization led by volunteers and guided by its congressional charter
and the fundamental principles of the International Red Cross Movement, will provide relief to victims of disaster and help people prevent, prepare for, and respond to emergencies.

Volunteer Application

Thank you for your interest in volunteering for the Southern Nevada Red Cross! Please take a few minutes to fill in the form. Once completed, you will be contacted.

Tell Us About Yourself

Note: If you are under 18 years of age, we are unable to accept online applications. Instead we require you to complete a hard copy application form which will require a parent/guardian signature. Please contact the volunteer team at (702)531-0241 for more information.

First Name *

Middle Name

Last Name*

Address*

City*

State*

Zip Code*

Email Address*

Main Contact Phone Number including area code*

Phone Entered is:

Education

Highest Education Level Achieved*

Institution Name*

City, State*

Degree

Major

Date Attended*

Emergency Contact Information

Name*

Relationship*

Contact Phone Number include area code*

Other Current Certifications or Licenses

Demographic Information (Optional)

Date of Birth

Marital Status

Single Married Divorced Widowed

Veteran

Yes No

Disabled

Yes No

Race/Ethnic Background

Languages

Please list any languages you are fluent in besides English.

Language 1

Fluency

Read Write Speak Translate

Language 2

Fluency

Read Write Speak Translate

Experiences

Please include both paid and volunteer work experience beginning with the most recent.

Employer:

Employer Address

Position

Phone Number

Supervisor Name and Title

Dates of Employment

Employer 2

Employer 2 Address

Employer 2 Position

Employer 2 Phone Number

Employer 2 Supervisor Name and Title

Employer 2 Dates of Employment

Employer 3

Employer 3 Address

Employer 3 Position

Employer 3 Phone Number

Employer 3 Supervisor Name and Title

Employer 3 Dates of Employment

Skills and Interests

Your areas of interest. Please check up to four areas.

Interests

Administrative
Fund Development
Disaster Services
Health and Safety

Skills/Interests

Accounting
Administrative Support
Casework
Clerical/Filing
Class Instructor
Communications
Data Entry
Fundraising
IT/Network Support
Military
Special Events
Web Design

Availability

Please note, the majority of volunteer assignments are Monday-Friday 8:30 am to 5:00 pm.

Available times to volunteer

Business Hours
Evenings
Weekends

Are you available for disaster assignments?

Yes
No

How far are you able/willing to travel?

Local area only
Nationally

Previous Red Cross Experience

Have you ever worked as a Red Cross employee or volunteer? If yes, give Red Cross affiliation names, positions held and dates.*

If you have previously worked at the American Red Cross state what you consider your start date.

List any Red Cross certifications you currently hold or have previously possessed. *

Have you ever been convicted of a felony or a misdemeanor? A "yes" answer to this question does not necessarily disqualify an applicant. If yes, please explain. *

Interview

We would like to set up a brief volunteer interview with you. During the interview we will discuss your interests, current opportunities and next steps in the process.

Please enter 3 times during the next week that you are available for a volunteer interview.*

e-Signature

By typing my legal name and the date below in lieu of an actual signature, I certify to the following: I have read the Volunteer Acknowledgement page, met those standards and have downloaded the documents. The statements set forth in this enrollment form are true. I acknowledge that the above information is voluntarily supplied.

Legal Name*

Todays Date*

Please enter the phrase as it is shown in the box above.