Volunteer Form
Last Name: *
First Name: *
Middle Initial:
Date: *
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Email: *
Phone: *
Address: *
Availability: *
Days/Times Available: *
Major(s): *
Expected Year of Graduation: *
Minor(s): *
Previous Relevant Employment or Volunteer Experience *
Position Held: *
Tasks Performed: *
Computer/Technology Skills: *
Do you have previous experience as a volunteer? *
If yes please state where, when and the type of work:
Why do you want to volunteer at the F.A.C.E. lab? *
Please list one reference other than a relative: *
(Full name, email, address, phone number)
Previous experience with Autism: *
Type of Experience (personal, professional ect.):
Although I give my services freely, I am a valuable member of the F.A.C.E. Lab and am depended upon to fulfill my volunteer assignment. As a volunteer at the F.A.C.E. Lab: I will adhere to the guidelines of the F.A.C.E. Lab and Emerson College I will maintain professional behavior I will maintain a commitment of 8-10hours/week and a predictable schedule for at least one full semester I will notify my supervisor if I must be absent on my assigned day/time I will notify my supervisor if I am unable to continue my volunteer service, and I will give as much notice as possible. I will not attempt to carry out any assignment for which I am not trained I will report any concerns or unusual occurrences to my supervisor. I have fully read and understand the information provided above. Any questions which I may have concerning the above have been answered to my satisfaction. With full knowledge of the responsibilities and risks involved, I consent to volunteer at the Emerson College F.A.C.E. Lab. *
Signature:
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