Life Styles, Inc. Volunteer Application
Life Styles, Inc. enthusiastically supports adults with disabilities in reaching their full potential as contributing members of the community. Our organization encourages the participation of volunteers who support our mission. The information on this form will be kept confidential and will help us find the most appropriate volunteer opportunity for you.

Thank you for your interest in volunteering with Life Styles, Inc.!

Note: If you plan on volunteering more than 30 hours, you will be required to consent to a background check.
Email Address *
First Name *
Last Name *
Address *
City *
State *
Zip *
Phone Number *
Are you interested in volunteering as a group or as an individual? *
If you are signing up a group, please list information about the group (name, number of interested people, etc.)
Any special talents or skills you have that you feel would benefit our organization? (E.g. organization, cooking, artistic, etc.) *
Interests: Please tell us which areas you are interested in volunteering. *
Please list any other ideas/interests for volunteering.
What day(s) are you generally available *
What time(s) of day are you generally available? *
Please list any accommodations you would like to access before and/or during your volunteer shift. (If you do not have an accommodation request, you may type N/A) *
Please list emergency contact information. *
As a volunteer of Life Styles, I agree to abide by the policies and procedures of the organization. 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. *
Signature *
Date *
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