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Volunteer Application
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Cell Phone
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Hours of Availability
During which hours are you available for volunteer assignments? (check all that apply)
Weekday mornings
Weekday afternoons
Weekday Evenings
Weekend mornings
Weekend afternoons
Weekend evenings
Interests
Adminstration
Events
Fundraising
Phone bank
Volunteer coordination
Field work
Deliveries
Newsletter production
Program Assistance
Special Skills or Qualifications
Summarize special skills and qualifications you have acquired froom emplooyment, previous volunteer work, or through other activities, including hobbies or sports.
Previous Volunteer Experience
Summarize previous experience
Emergency Contact
Emergency Contact Name
Emergency Address
Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Emergency Phone Number
Emergency Email Address
Agreement & Signature
By submitting this application, I affirm that the facts set forth are true and complete. I understand that if I am accespted as a volunteer, any false statements, omissions, or other misrepresentatioons made by me on this application may result in immediate dismissal.
Our Policy
It is the policy of this organization to proovide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.
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