Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
I am seeking this volunteer position to:
Satisfy a school/class/scholarship requirement
Satisfy mandated community service reqiurements
Become a regular volunteer with the agency
How many hours are you required to complete?
Date the you must complete the requirement by:
If there is no requirement date, please respond "N/A"
The following questions are Optional. The following questions help us track demographic data; this information is not used for screening or placement.
Are you over the age of 18 years old?
What is your age?
Please check all that apply:
High School Student
Middle School Student
Does your household identify as low income?
Please check off the skills, abilities, or interests that are applicable to you:
Data processing/computer work
Bulk mail help (envelope stuffing, folding)
Maintenance (painting, landscaping, carpentry, cleaning)
Grant writing/marketing/graphic design
Food handling/stocking shelves
Knowledge of a foreign language
Please list any special interests, skills, or hobbies"
Please list any work/activity you must avoid due to physical limitations or health concerns:
Our regular operating hours are Monday through Friday from 8am to 4pm. Are you available to volunteer during our regular operating hours
Please provide your availability.
Please provide an emergency contact.
Do you have reliable transportation?
Please upload your resume or other relevant documents.
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