Volunteer Application - One Life at a Time

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Volunteer Application

First Name:		Last Name:
Age:		Telephone:
Email:
Address:
City:		State:
Zip Code:

What qualifications/skills/experience/education do you have that you believe would benefit our clients?
	Clerical/Office Machines	Computer Programming
	Public Speaking	Research
	Supervision	Teaching
	Working with People	Writing/Editing
	Other

Have you volunteered before?

If yes, please briefly describe your volunteer experience.

Would you like to supervise other volunteers?

What are some of your objectives for working as a volunteer?

Please describe any physical limitations that may influence your volunteer work activities.

Which months would you be available for volunteer work?
	January	May	September
	February	June	October
	March	July	November
	April	August	December
How many hours per week would you be available to volunteer? Hours
Which days per week would you be available to volunteer?
Monday Tuesday Wednesday Thursday Friday

Notice to Volunteer: Volunteers are not considered to be Federal employees for any purpose other than tort claims and injury compensation. Volunteer service is not creditable for leave accrual or any other benefit. However, volunteer service is creditable work experience.

Privacy Act: Following information is provided to comply with the Privacy Act (PL 93-579). The data will be used to contact applicants and to interview, screen and select them for volunteer assignments. Furnishing this data is voluntary.

To schedule a consultation with one of our Career Development Specialists, please complete the following form.

Request Form

If you are passionate about helping others in your community please complete the following form.

Volunteer Form

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