Volunteer Application

* Full Name

* Date of Birth  * Gender  

* Address

* City

* State   * Zip Code  

* Home Telephone

Email

Place of Employment/School

Position

Work Telephone

Fax Telephone

* Emergency Contact

* Relationship

* Telephone Number

Medical Conditions/
Limitations

Please check the volunteer opportunities that interest you:

Administrative Support   Furniture Store   Tutoring

Food Pantry   Gala   Special Event Assistance

Care Mart   Holiday Giving   Other Services  

Please list other ideas you have or specific assignments that interest you

Do you have any special skills you would like to contribute to agency staff seeking:

Data Entry  Fund Raising  Special Event Planning

Tasks you would rather not do

Other skills, hobbies and interests

How did you hear about Caring For Others

Time available for volunteer work

MondayTuesdayWednesdayThursdayFridaySaturday
 Morning
 Afternoon
 Evening

* Are you available to assist on short notice

Transportation

Highest Education Completed

Educational background that may relate to your volunteer
(degrees, coursework, warehousing, technical skills)

Groups/organizations to which you belong

Have you ever volunteered

If so, where

Are you presently volunteering with another organization

List organizations where you are presently volunteering

Previous Volunteer experiences or work with non-profit agencies

* In order to contruct a demographic profile of our volunteers, please consider completing the following information

* Race/Ethnicity: