EmailMe Form - Volunteer Application

Date

MM / DD / YYYY

How did you hear about us?

Why do you want to volunteer at EFA?

Name

First Last

Birthdate

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Phone

### - ### - ####

Other Phone

### - ### - ####

Do you have any medical conditions that may limit the type of tasks you can perform?

If yes, please describe:

What days are you available to volunteer?

What hours are you able to volunteer?

Areas of Interest

Please select your preferred areas of interest for volunteering.

Other Volunteer Interests

Please share any special skills or qualifications from previous work or volunteering.

Please describe any previous volunteer experience

Emergency Contact Information

Name

First Last

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Relationship to You

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. We do require that all volunteers pass a background check with the Washington State Patrol. We reserve the right to refuse a volunteer's application for service if certain felonies and/or misdemeanors are present.

AGREEMENT & SIGNATURE:

By submitting this application, I affirm 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 the application may result in my immediate dismissal.

Name

First Last

Signature (to be completed at the agency):