VOLUNTEER APPLICATION

VOLUNTEER APPLICATION
Our organization encourages the participation of volunteers who support our mission. If you agree with our mission, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you. Your information will be securely stored in a confidential data base and will not be released to any outside agency.

Thank you for your interest in our organization.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Employer: *
Position: *
Add special talents or skills you have that you feel would benefit our organization? *
Interests: Please tell us in which areas you are interested in volunteering *

Administration Events Program Fundraising Deliveries Communication Other
Please indicate days available: *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Times available: From blanks to blank
Any physical limitations? blanks*
Any physical limitations:
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *
Please enter a valid phone number.
As a volunteer of our organization I agree to abide by the By Laws. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.
Signature *

Clear
Date *

Month Day Year
Date
Should be Empty:

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