LYD Volunteer Application
We are excited about your interest to volunteer us at LYD! Please fill out this short survey for our records. Again, thank you for your support!
Name *
Date of Birth *
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Address *
Phone *
Email *
Desired Start Date *
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Profession? *
Will you be using your professional expertise with us? *
What is the current value per hour of your professional time? (This is needed to calculate the total value of donated time.)
Do you speak any other languages besides English? If so, please specify.
1st Emergency Contact Information (Name & Phone Number) *
2nd Emergency Contact Information (Name & Phone Number) *
Do you have any physical limitations? *
If so, please specify to ensure that we provide reasonable accommodations.
Please list any special skills or talents.
Submit
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