Volunteer Application

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Use dd/mm/yyyy format for all date fields.
Required sections are marked with *. If you do not have information for a required field, enter "NA"

General Information*  
First name    Middle name    Last name
Street    City   State   Zip
Home phone    Work phone    Cell/Mobile phone(enter area codes)
E-mail    Date of birth (mm/dd/yyyy)
How did you hear about volunteering at CAMC Foundation?
Availability
During which hours are you available for volunteer assignments?
Mornings      Weekday   Weekend
Afternoons   Weekday   Weekend
Evenings      Weekday   Weekend
Education
I have completed:   High School   Some College   College

I need volunteer hours for school/college credit:  Yes   No

If yes, how many hours:

Interests*
Tell us in which areas you are interested in volunteering

Office Events Fundraising Deliveries Phone bank Newsletter production

Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
Previous Volunteer Experience

Summarize your previous volunteer experience.
Person to Notify in Case of Emergency *  
First name    Middle name    Last name
Street    City   State   Zip
Home phone    Work phone    Cell/Mobile phone(enter area codes)
E-mail
Our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.

Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name

By entering your name and clicking the submit button you are electronically signing this document.