Volunteer Application

Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Highest level of education completed *

Currently attending high school

High school diploma or GED

Some college

Bachelor's degree

Master's degree

How many hours per month are you available to volunteer with us? *

1 - 3

4 - 6

7 - 9

10 +

What availability do you have for volunteering? (select all that apply) *

Weekends only

Special events only

Monday

Tuesday

Wednesday

Thursday

Friday

Morning

Afternoon

Are you interested in volunteering for a single event or on an on-going basis? *

Single event

On-going basis

If you are volunteering for a single event, please specify below which event(s):

Farm to Table

Battle of the Bartenders

Music Therapy

Work Day

Gardening Day

Other

Tell us how you'd like to help (select all that apply) *

Assist with resume building

Administrative work

Arts and Craft class

Career exploration (talk about your career with clients)

Baking or cooking class

Event volunteering (weekends or after hours may be required)

Gardening

Landscaping projects

Mock interviewing

Music Therapy

Playing a musical instrument with clients

Reading to or with clients

Teach a course on your hobby/interest

Yoga/stretching exercises

Other

Do you have previous experience with people with disabilities? *

Yes

No

What date are you available to start volunteering? *

MM

DD

YYYY

How did you hear about us? *

Google search

Advertisement

Winchester Star (or other news)

Networking event

Family/friend

Walk-in

Other

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

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