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Volunteer Application YOUR LOGO HERE Contact Information Name Street Address City ST ZIP Code Home Phone Work Phone E-mail Address Availability During which hours are you available for volunteer assignments? ___ Weekday mornings
___ Weekday afternoons
___ Weekday evenings ___ Weekend mornings
___ Weekend afternoons
___ Weekend evenings Interests Tell us in which areas you are interested in volunteering ___ Administration
___ Field work
___ Phone bank
___ Newsletter production
___ Volunteer coordination Special Skills or Qualifications Summarize special skills and qualifications you have acquired from employment, previous
volunteer work or through other activities, including hobbies or sports. Previous Volunteer Experience Name Street Address City ST ZIP Code Home Phone Work Phone E-mail Address Person to Notify in Case of Emergency Summarize your previous volunteer experience. Agreement and Signature Our Policy By submitting this application, I affirm that the facts ser 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. Name (Printed) Signature Date It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.
Thank you for completing this application form and your interest in volunteering with us Page 1 of 2 Page 2 of 2