Volunteer Application
Thank you for your interest in volunteering with RT Autism Awareness Foundation! We are excited to have passionate individuals like you contribute to our cause. Please fill out this form to help us better understand your interests, skills, and availability.
Personal Information
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Emergency Contact Information
Emergency Contact
First Name
Last Name
Relationship to You
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Interests
Why do you want to volunteer with Rochester Area Autism Association?
What areas of our work are you most interested in? (Check all that apply)
Administrative Support
Event Planning/Coordination
Community Outreach
Fundraising
Social Media/Marketing
Client Support/Direct Service
Graphic Design/Creative
Other
Do you have any relevant experience or skills that could benefit the organization?
For example: event coordination, fundraising, graphic design, teaching, etc.
Background Check
Due to the nature of our work, we may require a background check for all volunteers.
Do you consent to a background check?
*
Yes
No
References
Please list name, phone and email address for 2 references (professional if possible).
1st Reference Name
*
First Name
Last Name
1st Reference Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
1st Reference Email
*
example@example.com
2nd Reference Name
*
First Name
Last Name
2nd Reference Email
*
example@example.com
2nd Reference Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Health Information
Do you have any medical conditions, allergies, or special requirements we should be aware of? If yes please specify.
Signature
By signing below, I agree to adhere to the policies and guidelines of RTAAF while volunteering. I understand that volunteering is a voluntary, unpaid position, and that the organization may require me to undergo additional checks or interviews as needed.
Continue
Continue
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