Volunteer Form

SUPPORT OUR MISSION, BECOME A VOLUNTEER

Our organization encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you. Thank you for your interest in our organization.

Full Name

Address

Address 1

Address 2

City

State

Zip

Phone

Employer

Position

Any special talents or skills you have that you feel would benefit our organization?

What areas of volunteering are you interested in?

Check all that apply

Please indicate days available:

Time(s) of day available

Any physical limitations?

Emergency Contact Name

Emergency Contact Phone Number

Comments/Questions

As a volunteer of our organization I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.