volunteer_application

Personal Information

Name:

Address:

City:

State:

Zip:

Telephone:

Cell/Work:

E-Mail:

Date of Birth:

Emergency Contact Information

Name:

Phone:

Relation:

Personal History

Occupation:

Employer

Name of High
School Attended:

Year Graduated /
GED

College Attended:

Major:

Year Graduated:

Skills (Check all That Apply)

Typing

Photography

Fundraising

Arts

Microsoft Office

Microsoft Access

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Crafts

Carpentry

Internet

Sewing

Graphic Design

Web Page Design

Other Skills:

Questionnaire

How did you hear about The Center?

What skills, training or knowledge do you wish to utilize at The Center?

What training, resources or support do you anticipate needing?

Is there any population you would find difficult to work with?

References

Please Provide one employment and one personal reference.

Employment Reference

Name:

Phone:

Personal Reference

Name:

Phone: