The Landerholmstead Volunteer Application (Organizations)
Thank you for your interest in a a volunteer position with The Landerholmstead!

Please fill out as much of the information below as possible. By providing your contact information you give The Landerholmstead permission to contact you via these mediums.

The Landerholmstead will not practice or permit discrimination on the basis of sex, gender, sexual orientation, age, race, color, national residence, religion, physical handicap or disability, or any other basis prohibited by law. Additionally, the Landerholmstead will not practice or permit any discrimination based on citizenship/residency status, socioeconomic status, criminal record, personal history, or other identifiers. We strongly believe that every individual can play a vital role.

Email address *
Organization Name *
Your answer
Contact Person Full Name *
Your answer
Phone Number *
Your answer
What is your preferred contact method? *
Organization's Address *
Your answer
Supplemental Address
Your answer
City/Town *
Your answer
State *
Your answer
Zip *
Your answer
Are members of your organization willing to travel in and around the Seattle area to volunteer? *
What do you hope to get from the Landerholmstead? Check all that apply. *
Required
Are you looking for these services/products indefinitely? *
How did you hear about us? *
Your answer
Are any of your members who will be volunteering disabled mentally or physically in any way? (Note that this will not be used to determine eligibility, but rather to place people in an appropriate position, if applicable) *
If "Yes", please elaborate on what accommodations they require:
Your answer
Are there specific days/times that your constituents are available for work or volunteering? *
If "Yes", please elaborate.
Your answer
What volunteer opportunities are you interested in? (Check all that apply) *
For more information on these, please visit: https://landerholmstead.wordpress.com/volunteer
Required
Names and Contact Information for each person who will be volunteering *
Your answer
Is there anything else you'd like to share with us?
Your answer
I hereby certify that the above information is true and correct to the best of my knowledge. If, at any time, my information or circumstances change, I am aware that I can revise this application by requesting to do so.
Printed Whole Name of Authorized Agent (as Signature) *
Your answer
Thank you for applying!
You will be contacted via email regarding your application. If you would like to send us any supplementary information, please email it to landerholmstead@gmail.com.
A copy of your responses will be emailed to the address you provided.
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