The Helpers Organization, LLC by 8aMAyL


									The Helpers Organization, LLC
Volunteer Application

Contact Information

Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address

During which hours are you available for volunteer assignments?

___ Weekday mornings          ___ Weekend mornings
___ Weekday afternoons        ___ Weekend afternoons
___ Weekday evenings          ___ Weekend evenings

Tell us in which areas you are interested in volunteering

___ Administration
___ Events
___ Field work
___ Fundraising
___ Deliveries
___ Phone bank
___ Newsletter production
___ Volunteer coordination

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

Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address

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 (printed)

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.

Any views or opinions presented in this disclaimer are solely those of the client and do not necessarily represent those
of the organization. Employees or Volunteers of [THE HELPERS ORGANIZATION] are expressly required not to make
defamatory statements and not to infringe or authorize any infringement of copyright or any other legal right by The
United States Of America and The Commonwealth State of Virginia. Any such communication is contrary to
organization policy and outside the scope of the status of the individual concerned. The organization will not accept
any liability in respect of such communication, and the EMPLOYEE or VOLUNTEER responsible will be personally liable
for any damages or other liability arising.

                                      To return your application you may
                                            Fax it to 1-888-485-4557
                               E-mail it to

Note* You will be contacted within 24-48 hours to schedule an Volunteer Orientation *Note

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

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