Volunteer Application

Contact Information
Name*
Address*
City*
State*
ZIP Code*
Home Phone*
Work Phone*
Email Address*
Availability
When are you available for volunteer assignments?
Sunday
to
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Saturday
to
Interests
Which areas are you best suited to volunteer?
- Children and Youth
- Disability Services
- Health/Wellness
- Seniors
- Daytime Call Center
- HIV/AIDS
- Fundraising Events
- Administrative Duties
Special Skills or Qualifications
Skills and qualifications can be acquired through employment, previous volunteer work, or other activities such as hobbies or sports.
What skills or qualifications do you have as a volunteer?
Previous Volunteer Experience
Have you worked as a volunteer before? If so, what did you do?
Person to Notify in Case of Emergency
Name*
Street Address*
City*
State*
ZIP Code*
Home Phone*
Work Phone*
Email Address
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.
Agreement*
- 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 immediate dismissal.
Phone
This field is for validation purposes and should be left unchanged.

Contact Information