EmailMe Form - Sheltering Arms Individual Volunteer Application

Contact Information

Name *

First Last

Address *

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

Email *

Best number to reach you

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

Date of Birth (Month and Year)

MM / YYYY

**Volunteers must be at least 10 years of age.***

Areas of Interest: *

What days are you interested in volunteering? *

To select more than one day, press and hold down the Ctrl key, and then click each day that you want to select.

What time of day are you available for volunteering? *

Early morning (6:30 am - 8:30 am)

Mid-morning (8:30 am - 11:45 am)

Lunch/Nap time (11:45 am - 2:00 pm)

Afternoon (2:00 pm - 4:30 pm)

Evening (4:00 pm - 6:30 pm)

Individual volunteer opportunities are from 6:30 am - 6:30 pm. Group volunteer opportunities are from 9:00 am - 11:00 am and 2:00 pm - 5:00 pm.

How often do you plan on volunteering? *

Other than traffic violations, do you have any criminal convictions? *

No

Yes

If yes, please provide more information:

Do you have any physical limitations or require any special accommodations? *

No

Yes

If yes, please provide details below:

Do you speak any languages other than English? *

No

Yes

If yes, please specify what languages:

Do you have previous volunteer experience? *

No

Yes

If yes, please list where you have volunteered at previously and what you did in that volunteer position:

Do you have any of the following? Please select all that apply:

First Aid

CPR

Pediatric CPR

Do you have any special skills, interests, or qualifications that we should know about?

Please let us know if you have any other questions, comments or concerns:

Emergency Contact:

First Last

*The person we should contact in case of an emergency.

Best number to reach this person at:

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

*

I certify that the information listed on this form is complete and correct.