| Volunteer Information |
| First Name |
|
| Last Name |
|
| Street Address |
|
| Apt. |
|
| City
State
Zip
|
| Home County |
|
| Phone |
Ext
|
| Email address |
|
| Occupation |
|
| Employer |
|
| Work Phone |
Ext
|
| Work Address |
|
| Suite |
|
| City
State
Zip
|
| Work County |
|
| When is the best time to contact you?
|
| May we call you at work? Yes
No
|
| |
| Personal Information |
| Gender
Male
Female |
| Ethnicity |
|
|
Are you over 18 years of age? Yes
No
If you're not over 18, please enter your age
|
| Highest Education Completed |
|
Some High School |
Bachelors Degree |
|
High School |
Masters Degree |
|
Some College |
Doctorate |
|
Associates Degree |
Professional |
| Do you speak any language other than English? |
| Yes
No
|
| If yes, which ones? |
|
| Hobbies/Interests |
|
| |
| Volunteer Interest |
| Which specific programs are you interested in? (check all that
apply) |
| |
Therapeutic Foster Children Program:
(requires a Criminal Background Check and Orientation) |
|
Social Program - Fun Weekend activities with the teens |
|
Mentoring/tutoring |
|
Big Sister/Brother type friend (training provided) |
| |
Adults with Developmental Disabilities Program:
(requires a Criminal Background Check and Orientation) |
|
Social Program - Fun weekend activities |
|
Shopping/Transporting |
|
Life Skills Training |
| |
| More Opportunities: |
|
Fund-Raising |
|
Special Events - annual picnic, Holiday party, recognition party, etc. |
|
Newsletter |
|
Phone calls |
|
Wherever the need is the greatest |
|
|
Children