If not employed, list last employer
Please list three people who know you well, at least one professional reference. Please do not list relatives.
I agree to abide by the policies of the Washington State School for the Blind. The information that I have provided on this form is true and complete to the best of my knowledge. I understand that WA State
School for the Blind may verify my information and untruthful or misleading answers will result in rejection of this application and removal of my name from the volunteer register. I will not represent myself as an employee and do not expect to receive any monetary compensation for my services. I also understand that I may be subject to further screening and observation by the volunteer coordinator to ensure that I have been placed in an appropriate assignment. Should my volunteer placement prove to be inappropriate WSSB reserves the right to change or discontinue my volunteer service.
(To be completed by applicant)