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.
Physical Address, include city, state, zip
Any special talents or skills you have that you feel would benefit our organization?
Please tell us in which areas you are interested in volunteering. Check all that apply.
Please tell us in which areas you are interested in volunteering. Select all that apply.
Tutoring - Math
Tutoring - Language Arts
Tutoring - Social Studies
Tutoring - Science
Please indicate days and times you are available
Any physical limitations?
In case of emergency, contact
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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