Clone of Volunteer Application Form

Full Name*

PrefixFirst NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Emergency Contact:*

Special skills/qualifications*

Previous Volunteer Experience*

Tell us in which areas are you interested in volunteering?

AdministrationEventsOrganizing/Cleaning of FacilityFundraisingWebsite/Social Media MaintenaceNews Letter ProductionSharing of Special Skills (Offering music concert, workshop of sorts- allowing proceeds to fo to House of Gaia)

During which hours are you available for volunteering?

Hours from to:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. It is our policy of this organization to provide equal opportunities without regard to race, color, religion, natiounal origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.

VOLUNTEER APPLICATION