During which hours are you available for volunteer assignments?

Please indicate the number of Volunteer Hours required for the following:

High School #
College #

Areas of Interest

A copy of your license will be requested for insurance purposes.

Please tell us about your special skills and qualifications
i.e. previous volunteer experience, work skills, computer skills, hobbies, sports, etc.

References; please provide 2 references;

Person to notify in case of an emergency

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.
Once your application has been approved, you will be required to sign the following documents: Confidentiality Policy, Volunteer Conduct Policy, Theft Policy, Internet & E-mail Use Policy, and Workplace Violence & Harassment Policy