Contact
Information
* Name
(first and last)
* Street
Address
* City
* State
* ZIP
Day
Phone
Evening
Phone
Mobile
Phone
* Email
Address
Date
of Birth (year optional)
Additional
Information
Please
check your age category:
Current
employer:
Position:
Current
school Information:
If
you are a student, are you volunteering to complete
community service hours?
If
yes, when is your deadline?
Why
do you wish to volunteer for MHDSA?
How
did you hear about our Volunteer Program?
Availability
During
which hours are you available for volunteer
assignments?
Other:
(please list)
How
many hours per week do you wish to volunteer?
How
many hours per month do you wish to volunteer?
Interests
Tell
us in which areas you are interested in volunteering:
Other:
Special
Skills or Qualifications
Summarize
special skills and qualifications you have
acquired from employment, previous volunteer
work, or through other activities that are
relevant to your volunteer service with MHDSA.
Special
Skills or Qualifications
Summarize
special skills and qualifications you have
acquired from employment, previous volunteer
work, or through other activities that are
relevant to your volunteer service with MHDSA.
Previous
Volunteer Experience
Summarize
your previous volunteer experience.
Person
to Notify in Case of Emergency
* Name
* Relationship
to volunteer
Street
Address
City
State
ZIP
Day
Phone
Evening
Phone
* Mobile
Phone
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. I
understand that the above information is
voluntarily supplied and may be used for
Mile High Down Syndrome Association purposes
only and that as a Mile High Down Syndrome
Association volunteer, I will not be paid
for my services.
* I
agree to submit to a background check if required
for the position.
Thank
you for your interest in Mile High Down Syndrome
Association!
