Orange Moon CDC Volunteer Application
Our organization encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application.
The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.
Full Name *
Your answer
Physical Address, include city, state, zip *
Your answer
Contact Number *
Your answer
Email *
Your answer
Any special talents or skills you have that you feel would benefit our organization?
Your answer
Please tell us in which areas you are interested in volunteering. Check all that apply. *
Your answer
Please tell us in which areas you are interested in volunteering. Select all that apply. *
Required
Please indicate days and times you are available
Your answer
Any physical limitations?
Your answer
In case of emergency, contact
Your answer
As a volunteer of our organization I agree to abide by the policies and procedures. 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. *
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