Volunteer Application Form
Every year, hundreds of volunteers make it possible for EmBe to impact the lives of children, teens, adults and seniors. EmBe volunteers contribute their time, talent and resources to help us mentor kids, coach sports, send kids to camp, and improve our facilities.

They answer phones, serve as receptionists, enter data, train other volunteers, raise money, follow-up on pledges, serve on committees, sort the mail, compile community calendars, organize events, research stories, and much more.

Become a part of our legacy of transforming lives, one volunteer at a time. Find the best fit for you, while helping members of our community.

Name *
First and last name
Your answer
Company
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Phone number *
Your answer
During which time of the day are you available for volunteering? Please check all that apply. *
Required
Interests *
Required
Are there particular interests or talents that you would like to share with EmBe? (skills acquired from employment, previous volunteer work, or through other activities, including hobbies or sports) *
Your answer
Emergency Contact
Person to notify in case of an emergency
Name *
Your answer
Relationship to you *
Your answer
Phone *
Your answer
Our Policy
It is the policy of EmBe to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.
Agreement *
Initial below to confirm: I am not a child molester, abuser or pedophile; and have not been convicted of being a molester or abuser.
Your answer
*
By submitting this application, I give my permission to be photographed for EmBe promotional use. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application my result in my immediate dismissal. I affirm that the facts set forth in this application are true and complete. Initial below to confirm.
Your answer
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