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
Format: (000) 000-0000.
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How often would you like to volunteer?
Preferred Days:
Preferred Time:
Area of Interests

Other (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?
If yes, please explain:
Have you ever been convicted of a felony?
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
Date

MonthDayYear
Date
Should be Empty:

Agreement and Signature