United Way of Gladwin County


 

Volunteer Application Form

 

Volunteer Information

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Have you ever served as a volunteer with us before?

Yes No

If you have volunteered before, in what year?


Highest Educational Level Completed

Elementary
High School
College
Graduate

Employment Status

Employed
Retired
Student
Unemployed

Employer

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone

Are you over the age of 18?

Yes No

What is your commitment length?

3 months (short term)  6 months (long term)   1 year                 Special Event

Availability

Sunday Morning       Sunday Afternoon     Sunday Evening       
Monday Morning       Monday Afternoon     Monday Evening       
Tuesday Morning      Tuesday Afternoon    Tuesday Evening      
Wednesday Morning    Wednesday Afternoon  Wednesday Evening  

Thursday Morning     Thursday Afternoon   Thursday Evening     
Friday Morning       Friday Afternoon     Friday Evening       
Saturday Morning     Saturday Afternoon   Saturday Evening

Number of hours available per week.


Please select any of these skills you have, and would like to apply to a volunteer job.

Accounting              Carpentry               Clerical                Driving               
Photography             Gardening               Grant Writing           Writing               
Typing                  Mentoring               Filing                  Counseling            
Public Speaking         Reading                 Answer Telephone        Teaching Adults       
Cooking                 Plumbing                Telephone Fund Raising  Cleaning              
Child Care              Nursing                 Organizing Events       Other

Other Skills that you would like to volunteer.


Is there a particular issue area in which you are interested?

Child Abuse                       Daycare                           Crime/Violence against Children   Children's Recreational Programs
Domestic Violence                 Poverty                           Divorce/Custody                   Death/Illness                   
Substance Abuse                   Older Adults/Seniors              Educational/Literacy              Homeless and Hunger             
Physically/Mentally Challenged    Environment                       Arts                              Health                          
Animal Care                       Other

Other issues you are interested in.


How did you hear about the Volunteer Center?

Friend        Employer      Instructor    Staff Member
Poster/Flyer  Church        Television    Radio       
Newspaper     Other

Other way you heard about the Volunteer Center.