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Volunteer
Volunteer Application
Download Volunteer Application Form
or please fill out the following online form.
Contact information
Name(•):
Address:
City:
Postal Code:
Email (•):
Home Phone Number:
Business Phone Number:
Age Category
14-16
17-19
20-30
31-54
over 55
Volunteer Experience
Organization:
Dates:
Duties:
Organization:
Dates:
Duties:
Hobbies & Interests (check all that apply)
arts and crafts
dancing, singing
clerical
sewing
writing/literacy
sports
group leadership
public relations
public speaking
organizing events
swimming
woodworking
child care
driving
bowling
Other:
Transportation
Driver's License?
Yes
No
Class of License:
Are you willing to use your car during your activities as a volunteer??
Yes
No
Additional Information
How did you hear about our Association's Volunteer Program?
Why are you interested in becoming a volunteer with Community Living?
With whom would you prefer to volunteer? (check all that apply)
Adult Male
Adult Female
Program
Special Events
When would you be available to volunteer? (check all that apply)
Day
Evening
Weekday
Weekend
Year Round
Summer Only
How often are you available to volunteer?
Once a week
Every other week
Once a month
Other:
References
Name:
Mailing Address:
Duties:
Telephone:
Relationship:
Name:
Mailing Address:
Duties:
Telephone:
Relationship:
I hereby declare that the foregoing information is true and complete to my knowledge. I, hereby authorize the Volunteer Coordinator/Program Director to contact the references listed on this application.
I Accept
