NAMI Clackamas Volunteer Application
Email address *
Contact Information
Your Full Name *
Street Address *
City *
State *
Zip *
Best Phone Number *
Secondary Phone Number
Email *
Preferred Form of Contact *
How did you hear about NAMI Clackamas? *
Career / School
Are you employed?
Clear selection
Employer
Title / Position
If you are currently employed, does your employer have any of the following programs?
Are you a student?
Clear selection
Name of School
Area of Study
Skills
Do you have experience or skills in any of the following areas? *
More room in the next question for skills not listed
Required
Do you have any other skills that you would like to share with NAMI Clackamas?
What skills would you like to gain by volunteering at NAMI Clackamas? *
Please describe your previous volunteer experience, if any.
Please check areas of interest as a NAMI Clackamas Volunteer: *
Required
Do you have a driver's license and a personal vehicle available for use while volunteering?
Clear selection
Are you a Veteran?
Clear selection
Do you speak any other languages?
Availability
How long of a commitment can you make to volunteering? *
Required
What days of the week are you usually available? *
Required
What times of day are you available? *
Required
In case of emergency, who would you like us to contact?
Name *
Best Phone Number *
Secondary Phone Number
Equal Opportunity Policy
NAMI Clackamas considers applicants for volunteers and internships without regard to race, color, sex, sexual orientation, gender identity, national origin, religion, marital status, veteran status, or age. We provide reasonable accommodation to qualified individuals with disabilities when it would not be an undue hardship. If you need a reasonable accommodation please let us know.
Do you have any special needs or restrictions we should be aware of?
AUTHORIZATION AND AGREEMENT BY APPLICANT
By typing my full name and today's date below, I certify that the information in this volunteer application are true and complete to the best of my knowledge.
Full Name *
Today's Date *
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DD
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YYYY
If applicant is under 18, Parent's Full Name
Today's Date
MM
/
DD
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YYYY
THANK YOU for applying to volunteer at NAMI Clackamas!
Please take a moment to look over the application and then click submit.
A copy of your responses will be emailed to the address you provided.
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