Contact InformationName*Street AddressCity ST Zip CodeHome PhoneWork PhoneEmail Address* AvailabilityDuring which hours are you available for volunteer assignments?WeekdayWeekendInterestsTell us in which areas you are interested in volunteering.AdministrationEventsField workFundraisingDeliveriesPhone bankNewsletter productionVolunteer coordinationVolunteer’s Passport Size PhotoVolunteer’s Passport Size PhotoSpecial Skills Or QualificationsSummarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Previous Volunteer ExperienceSummarize your previous volunteer experience. Person To Notify In Case Of EmergencyName*Street AddressCity ST ZIP CodeHome PhoneWork PhoneEmail Address* Agreement And SignatureBy submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. NameSignatureDate Our PolicyIt is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.