Volunteer Signup Form

Your Name (required)

Home Address

City

State

Zip Code

Phone number (required)

Cell number for text alerts

Cell Carrier

Email Address

In what capacity are you interested in volunteering?
Warming and Cooling Center VolunteerNewton Fire DepartmentNewton First Aid SquadDomestic Violence Response TeamNewton CERT Team (Community Emergency Response Team)

Have you ever been arrested, convicted, or plead guilty to a crime? (required)
YesNoOther (explain in comments box)

Have you ever been accused, charged, or alleged to have, or have you ever committed any act of neglecting, abusing, or molesting any child? (required)
YesNoOther (explain in comments box below)

Have you ever been convicted of the possession, use, or sale of drugs within the last 18 months? (required)
YesNoOther (explain in comments box below)

Have you ever been convicted of domestic or assault related charges within the last 18 months? (required)
YesNoOther (explain in comments box below)

Have you ever been convicted of robbery-burglary related charges within the last 7-years? (required)
YesNoOther (explain in comments box below)

Is there any fact, circumstance, or pattern involving your background that would compromise the integrity of the program? (required)
YesNoOther (explain in comments box below)

Additional comments

Terms and Conditions (required)
I hereby certify and affirm that the information contained in this application is complete and accurate. I am a resident of the State of New Jersey and am of good moral character. I agree to be contacted by Town of Newton staff to continue the application process. I understand that I must meet additional requirements prior to my acceptance as a volunteer, including that I will be required to submit to a criminal background check and complete a liability waiver prior to my acceptance.