Volunteer Application Form

Volunteer Application Form

Help us make a difference by volunteering your time and skills.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How often would you like to volunteer?*

One-time eventWeeklyBi-WeeklyMonthly
Preferred Days:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Time:

MorningAfternoonEvening
Area of Interests*

Event Setup/SupportAdministrative TasksFundraising/OutreachTransportation AssistanceSocial Media/MarketingPeer Support/CompanionshipAdaptive Recreation ActivitiesOther (Please Specify):
Relevant Experience or Skills*
(Include any experience with disability advocacy, healthcare, caregiving, communication, sign language, etc.)
Do you have any physical limitations or special accommodations we should be aware of?*

YesNo
If yes, please explain:
Have you ever been convicted of a felony?*

YesNo
If yes, please explain. This will not necessarily disqualify you.
References (Optional but Encouraged)
First Name   Last Name
Area Code   Phone Number
Email
Relationship to Reference:
Agreement and Signature

I certify that the information provided is true and complete. I understand that I may be subject to a background check prior to volunteering. I agree to follow all guidelines and uphold the mission and values of The ReM.A.R.C.able Foundation.
Signature*

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Date*

MonthDayYear
Date
Should be Empty:

Volunteer Application Form

Agreement and Signature