Volunteer Information Form

Volunteer Information Form
Name*

First NameLast Name
Address*

Street Address

Apt./Unit #

CityState

Zip Code
Primary Phone*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
Email
example@example.com
Age Category

21-3536-5455 + older
If you are between the ages of 13-21 and would like to volunteer at the Center, please CLICK HERE for more information.
Days of the Week and Times Available
Monday

MorningAfternoonEvening
Tuesday

MorningAfternoonEvening
Wednesday

MorningAfternoonEvening
Thursday

MorningAfternoonEvening
Friday

MorningAfternoonEvening
Saturday

MorningAfternoonEvening
Sunday

MorningAfternoonEvening
How did you learn about ACCH volunteer opportunities?
Reason for volunteering*

0/250
In what areas are you interested in assisting with

Education ProgramsGallery Exhibitions EventsPerforming Arts ProgramsFundraisers (i.e. Cuisine for Art, Golf for Art, Hot Hollywood Glam)Photography and/or VideoOther
Please list skills that you think may be helpful*

(i.e. typing, computer (Word, Excel, and Publisher), organizational, arts and crafts, teaching, directing, etc.)0/250
Please list any volunteer experience you have and the nature of your responsibilities*

0/250
Any Limitations?
Have you ever been convicted of any criminal offense, pleaded guilty or nolo contrendere, or found guilty of criminal offense, even though Adjudication was withheld or sentence was suspended?

YesNo
NOTE: A ‘YES’ response to this question does not automatically disqualify you
If Yes Explain

0/500
Date
Charge
Place
Current Status
Should be Empty: