Volunteer Application Form

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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
___ Events
___ Field work
___ Fundraising
___ Deliveries
___ 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
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
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