Volunteer Application Form for Non-Profit

ATN Community Health Foundation

Volunteer Application Form
ATN Community Health Foundation Inc. is a nonprofit organization that provides basic health-care, education, nutrition, job skills, and community development programs to those who, due to the harsh circumstances of their lives, have been deprived of the most basic living conditions.

We encourage the participation of volunteers who support our
mission and are willing to contribute. The information provided through this form will be kept confidential and will help us determine the
most satisfying and appropriate volunteer opportunity for you.
Name

PrefixFirst NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Health EducationEvent PlanningFundraisingAdministrative SupportCommunity OutreachFood Management
Regular VolunteerEvent VolunteerSocial Media VolunteerCommittee MemberBoard MemberBoard ChairSpecial Projects
Short-term (few days to weeks) 1 day - 8 weeksLong-term (months to years) 2 months - 2 years
Emergency Contact Information Name

PrefixFirst NameLast Name
Email
example@example.com
Phone Number
Emergency Contact Phone NumberFormat: (000) 000-0000.
Relationship to Volunteer
Educational Background
College/School
Department/Field
Occupation
Company
Department/Position
In which areas would you like to volunteer?
Which of the volunteering activities interest you?
Do you have any volunteering experience? If yes, please describe.
MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
From

Hour Minutes

AM/PM Option
To

Hour Minutes

AM/PM Option
Additional notes about your schedule
Declaration:
By submitting this form, I certify that the information provided is true and accurate to the best of my knowledge. I understand that volunteering with the ATN Community Health Foundation is a voluntary activity and that I may be asked to undergo a background check depending on the nature of my volunteer role.
Date

MonthDayYear
Date
Signature

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ATN Community Health Foundation

Educational Background

Occupation