Volunteer Application Name Email Address Mailing Address Postal Code Phone Number (Cell) Education: (please check appropriate boxes - optional) Education: (please check appropriate boxes - optional) Elementary School High School University Other If Other - Please specify: Please describe any special courses: Previous Volunteer Experience: Hobbies, skills, interests: Languages Spoken/Written: How did you learn about the Volunteer program at the North East Family Connections? What do you hope to gain from volunteering with us? What activities would you like to be involved in? Where would you like your talents to be used? Where would you like your talents to be used? Administrative Special Events Research Translating Maintenance Phoning Assisting with Resume Writing Toy Cleaning Cleanup Organizing Displays Youth Programs Other Please Specify Do you have any health problems that would affect the type of volunteer activities you can be involved in? (i.e. no lifting, no walking, etc.) Do you have any health problems that would affect the type of volunteer activities you can be involved in? (i.e. no lifting, no walking, etc.) Yes No When are you available for volunteering? When are you available for volunteering? Weekdays - Morning Weekdays - Afternoon Weekdays - Evening Weekends - Morning Weekends - Afternoon Weekends - Evening Any additional information you would like us to know? Emergency Contact Name Emergency Contact Phone Number Emergency Contact Address Emergency Contact Relationship Emergency Contact Relationship Friend Family Please list one (1) reference from a previous volunteer experience (if possible) Name & Contact Phone Number Submit