Volunteer Application Form
Required fields are
red
Name:
Street Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Home Phone:
(
)
-
Work Phone:
(
)
-
Cell Phone:
(
)
-
E-Mail:
21 or older:
Yes /
No
Have you worked/volunteered for a non-profit agency?
Yes /
No
Reason for volunteering:
High School Credit
Community Service
College Internship
Other, please specify
Name of School:
Academic Year:
Major:
Employment Status:
Currently Employed
Seeking Employment
Retired/Not Working
A Student
How long do you plan to volunteer?
Ongoing
Limited - from
to
Other -
Days & Hours Available:
Indicate your area(s) of interest:
Public Relations/Marketing
Social Work Internship
Administrative Support
Deja Vu Thrift
Fundraising/Special Events