Volunteer Application

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Home Phone *

Cell Phone/Pager

Work Phone *

Employer *

Email *

Preferred Phone Number

Home

Work

Education

High school / GED

College

Graduate

Other

Employment

Job Title/Description

Organization/Company

Languages

Please list any languages other than English that you are able to speak, read or write fluently

Language #1

Language #2

Language #3

Language #4

Emergency Contact Information

Name

Relationship

Daytime Phone

Evening Phone

If other, please tell us

Would you like to be added to our list to receive monthly email updates about volunteer opportunities at Girls Inc

Yes

Would you be willing to submit to a criminal background check if required for your volunteer assignment?

Yes No

Volunteer Experience

Please list your most recent volunteer activities.

Activity

Organization

Duration

Activity

Organization

Duration

Skills and Interest

Please list the areas of your volunteer interest and/or the position for which you are applying.

Please list any skills you would like to enhance or develop through your volunteer work with Girls Inc.

Please list any skills, hobbies, interests or certifications you possess that may be helpful in your volunteer work

Why do you want to volunteer with Girls Inc.?

All of the above information is accurate and correct to the best of my knowledge

Signature

Type your full name.

Today's Date

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