CONTACT INFORMATION

Your Name (required)

Street Address

City, State, Zip Code

Home Phone

Work Phone

Your Email (required)

AVAILABILITY

During which hours are you available for volunteer assignments

 Weekday mornings
 Weekday afternoons
 Weekday evenings
 Weekend mornings
 Weekend afternoons
 Weekend evenings

INTERESTS

Tell us in which areas you are interested in volunteering

 Administration
 Events
 Field work
 Deliveries
 Phone bank
 Newsletter production
 Volunteer coordination

SPECIAL SKILLS & QUALIFICATIONS

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

PREVIOUS VOLUNTEER EXPERIENCES

Summarize your previous volunteer experience

PERSON TO NOTIFY IN CASE OF EMERGENCY

Name (required)

Street Address

City, State, Zip Code

Home Phone

Work Phone

Email

AGREEMENT & SIGNATURE

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name (required)

Signature (required)

Date (required)

OUR POLICY
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.