Volunteer Application Form

Last Name: ____________________________ First Name:____________________ Date:____________

Address: _______________________________________ Tele:______________(H);_______________(O)

_______________________________________ Cell:_______________ Fax:_______________

_______________________________________ EMAIL:____________________________

Company or Volunteer Group Name:__________________________________________________

1. What languages do you speak? (circle all that apply)

English Spanish French German Russian

Chinese Japanese Other(s) _____________: _____________: _____________:

2. What professional skills or specialized training do you have? (circle all that apply)

Carpentry Plumbing Flooring Wiring Masonry Roofing

Painting Legal Computer GIS Teacher First Aid/CPR

Writing Library Community Organizing and/or Planning Mentoring

Supervisory Drafting Business Management Accounting Counseling

Other:_________________: _________________: ________________: _________________:

3. List any additional general skills you have:

Typing Filing Phone Office Machines/Equipment Landscaping

Other:_________________: _________________:_________________:_________________:

4. Interests and/or hobbies:

Sports Reading Puzzles Gardening Dancing Collecting

Other: ________________: _________________: _________________: ________________:

5. Please List any diplomas, certificates, licenses, or degrees obtained:

a. ______________________________ b. _________________________________

c. ______________________________ d. _________________________________

6. Comments:_______________________________________________________________________

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PLEASE DO NOT WRITE ON THIS SIDE. FOR STAFF ONLY.

Volunteer Activities:

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