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Contact Inf=
ormation
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Name |
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Street Address |
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City ST ZIP Code |
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Home Phone |
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Work Phone |
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E-Mail Address |
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Availabilit=
y
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During wh=
ich hours
are you available for volunteer assignments? |
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Weekday mornings |
Weekend mornings |
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Weekday afternoons |
Weekend afternoons |
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Weekday evenings |
Weekend evenings |
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Interests
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Tell us in which areas you are
interested in volunteering |
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Administration |
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Events |
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Field work |
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Fundraising |
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Pickups/Deliveries |
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Phone bank |
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Newsletter production |
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Volunteer coordination |
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Special Ski=
lls or
Qualifications
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Summarize special skills and
qualifications you have acquired from employment, previous volunteer work=
, or
through other activities, including hobbies or sports. |
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Previous Vo=
lunteer
Experience
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Summarize your previous volun=
teer experience. |
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Person to N=
otify in
Case of Emergency
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Name |
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Street Address |
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City ST ZIP Code |
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Home Phone |
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Work Phone |
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E-Mail Address |
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Agreement a=
nd
Signature
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By submitting this applicatio=
n, I
affirm that the facts set forth in it are true and complete. I understand
that if I am accepted as a volunteer, I must be
fingerprinted (in which I am responsible for the $20 fee) and any false
statements, omissions, or other misrepresentations made by me on this
application may result in my immediate dismissal. |
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Name (printed) |
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Signature |
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Date |
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Our Policy<= o:p> |
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It is the policy of this orga=
nization
to provide equal opportunities without regard to race, color, religion,
national origin, gender, sexual preference, age, or disability. Please complete your applicat=
ion and
mail to: The
HUSH Foundation |