PBS39 Volunteer Application
Application for for prospective volunteers for PBS39 in Fort Wayne, Indiana
First Name *
Middle Initial
Last Name *
Address *
City *
State *
Zip *
Phone Number *
If you gave us your cell phone as the number you'd like us to contact you at, may we send you text messages? *
What is your email address?
Email Preferences
We like to keep volunteers informed of important news, station events, schedule changes and other information as well as volunteer opportunities Use the check boxes following to select the types of emails you would like to receive. Check all that apply.
My Email Preferences are:
Are you currently a member or donor to PBS39? *
Are you currently employed? *
Times you're available to volunteer with PBS39
Skills and Interests
Please take a moment to share with any areas of interest you may have in volunteering with PBS39.
Please list any skills or interests you'd like to share with PBS39. *
Affirmation/Signature:
I, the undersigned, by affixing my signature to this form either in print or electronically, affirm that all the information I have provided is true and complete to the best of my knowledge. If this application leads to being accepted to volunteer with PBS39, I understand that false or misleading information in my application or subsequent interview may result in my release from volunteer service with PBS39.
Type your name on the line below. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy