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AIC Works™ Volunteer Request Form
Email *
Your Full Name *
Address *
Your Contact Number
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E-mail
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Date of Birth *
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What hours can you work?
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 How many hours per week are you looking to dedicate towards Volunteering with AIC?
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Why do you want to volunteer your time and skills to Advanced Independence Charity? *
Specifically, what volunteer activities do you enjoy most, i.e., telephone calls, organizing, training, etc? *
Interested in:
 *
Required
Do you have a Drivers License? *
Will you gain academic credit for your volunteerism? *
Please provide three personal or professional references. Ref One *
Please provide three personal or professional references. Ref Two *
Please provide three personal or professional references. Ref Three *
Are you willing to take a background check *
Do you have any work restrictions? *
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