Volunteer Application Form

Fill out form below and click submit.

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

What days are you available?

Number of hours available per week.

Please mark 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 areas 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.


       

 

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