Volunteer Application
Personal Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Service Information
I'd like to volunteer with: (Please make at least 1 selection from the choices below.)
Helping at local Easterseals events
Clerical/Back Office support
Working with Adult Day Care clients
Collecting donations for drives
Providing chef instruction to Culinary Arts Highschool student
Providing enrichment activities (music, art, dance) to children and adults
Upkeep beautifying projects (flowering, painting, gardening, etc.)
Other
If you selected events, please state which event(s) you are interested in. Select all that apply.
Small Miracles Luncheon
Golf Fiesta!
Festival of Chefs
The Women's Giving Collective
Other
What languages do you speak? Select all that apply.
English
Spanish
French/Creole
Portuguese
Other
When are you available? All selections are based on weekday, regular business hours. Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Have you ever volunteered for Easterseals?
Yes
No
Department
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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