Volunteer Application
For individuals
* Required
Email address
*
Your email
Application Date:
*
MM
/
DD
/
YYYY
First Name:
*
Your answer
Last Name:
*
Your answer
Phone #:
*
Your answer
Street Address:
*
Your answer
City:
*
Your answer
Zip Code:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
What language(s) do you speak?
*
English
Spanish
Creole
French
Portuguese
Tagalog
Other:
Required
Please list any allergies you may have (this is not a nut-free facility)
Your answer
Occupation
Your answer
Time Availability (Weekday)
Yes
Monday morning (9-12)
______ Monday afternoon (1-4)
Tuesday morning (9-12)
______ Tuesday afternoon (1-4)
Wednesday morning (9-12)
______ Wednesday afternoon (1-4)
Thursday morning (9-12)
______Thursday afternoon (1-4)
Friday morning (9-12)
______ Friday afternoon (1-4)
Saturday (9-2 preferred; may arrange flexible hours)
Yes
Monday morning (9-12)
______ Monday afternoon (1-4)
Tuesday morning (9-12)
______ Tuesday afternoon (1-4)
Wednesday morning (9-12)
______ Wednesday afternoon (1-4)
Thursday morning (9-12)
______Thursday afternoon (1-4)
Friday morning (9-12)
______ Friday afternoon (1-4)
Saturday (9-2 preferred; may arrange flexible hours)
Clear selection
Please enter your desired commitment level
*
Long term (3+ months)
Short term (1+ months)
One time only
Being on-call (one time event or opportunities)
Not sure
Is this part of a Community Service commitment?
*
Yes
No
Which volunteer opportunities are you interested in? Please mark all that apply.
*
Front desk greeter
Help with with food packing
Help with food distribution
Help with carrying donations
Help with sorting out donations
Groundskeeping maintenance
Housekeeping Assistance
E-Newsletter Writer and/or Editor
Media Coordinator
Photographer
Project Ready Instructor (computer and workplace skills required)
Driver (pick up and drop off)
Required
List any qualifications and experiences relevant to the volunteer position you are applying for:
Your answer
Is there any other information that would help us make a good match?
Your answer
Do you have any physical limitations or under any treatment which may limit your ability to perform? If so, please explain :
Your answer
Emergency contact information
Name of contact:
*
Your answer
Relationship:
*
Your answer
Emergency phone number:
*
Your answer
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