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.