Application to Volunteer

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Application to Volunteer - Short Term

Thank you for offering to help! Humboldt Literacy Project welcomes you! PLEASE CALL (707) 445-3655 OR EMAIL LITERACYHELPERS@GMAIL.COM TO LET US KNOW YOU HAVE SUBMITTED THIS FORM. (We do not receive notifications.) All your information is confidential. We share anonymous demographic data with our bosses at the California State Library. Thank you!

Email *

Name *

What is your date of birth? (If you are under 18, we need your legal guardian's consent, here.) *

Today's Date *

Phone Number
*

Physical Address (Please use complete address including city, state, and zip code.) *

Mailing Address, if different (Please include city, state, and zip code.) *

What is your ethnicity? (This helps some of our grantors understand our program better.)
*

Hispanic, Latinx, or Spanish

Not Hispanic, Latinx, or Spanish

Unkown

Would rather not say

Other:

What is your ancestry/ race?
*

American Indian or Alaska Native

Asian

Pacific Islander

Black or African American

White

Combination

Unknown

Prefer not to say

Other:

What is your gender? *

Do you have a free Humboldt County Library card? *

Do you have any conditions or circumstances that may affect volunteering?

Vision?

Hearing?

Medication?

Mobility

Other:

Have we already talked to you about a specific role at a specific event?

Skills/ Experience/ Stuff you prefer to do?

A Friendly Face

Setting Up and Breaking Down (chairs, tables, sweeping, mopping, trash out, etc)

Brute Strength

Audio/Video Tech

Cash Handling

Food Service

Professional Experience working Door Security

I'm showfolk, baby! Storytelling, Performing, Presenting, Crowd Work

Other:

Is there anything else you would like us to know about you?

If we perform a background check on you, is there anything you'd like to say about what we might find?

Emergency Contact *

Have you read, understood, and agreed with the Job Description and Confidentiality Agreement, your Rights, and your Responsibilities at https://www.humboldtliteracy.org/give-help? Contact us if you have questions or concerns. *

Yes

Will you release Humboldt Literacy Project from any liability or claim that you may have with respect to injury, illness, death, or damage. This release is intended to be as broad and inclusive as permitted by the laws of the State of California and shall be governed by and interpreted in accordance with the laws of the State of California. *

Yes

Have you emailed us a scan of your Drivers License or Passport to LiteracyHelpers@gmail.com? *

Yes, I am doing that RIGHT NOW.

Thank you! Go ahead and call us at (707) 445-3655 or email us at LiteracyHelpers@gmail.com, and we will see you soon.

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