Volunteer Information Form

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Name
Street Address, City, State, Zip Code
Availability
During which hours are you available for volunteer assignments?
Interests
Tell us in which areas you are interested in volunteering.
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
First and Last Name
Street Address
City, State, Zip Code
Phone
Email
Terms and Agreement
Agreement and Signature:
By checking the box above and 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.
Our Policy:
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.