Volunteer Form If you are passionate about helping others in your community please complete the following form below. Full Name Age Your Email Phone Number Address City State Zip Code What qualifications/skills/experience/education do you have that you believe would benefit our clients? Clerical/Office MachinesComputer ProgrammingPublic SpeakingResearchSupervisionTeachingWorking with PeopleWriting/EditingOther Have you volunteered before? YesNo If yes, please briefly describe your volunteer experience. Would you like to supervise other volunteers? YesNo 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? JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember How many hours per week would you be available to volunteer? Which days per week would you be available to volunteer? MondayTuesdayWednesdayThursdayFriday 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.