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Volunteer Application
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Name
*
First
Last
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Cell Phone
*
Home Phone
How did you find out about our organization?
Direct mail
Advertisement
Online Search
Friend / Family
Business Colleague
Other
How many hours per week would you be able to dedicate?
3 hour or less
3 to 5 hours
5 to 10 hours
10 to 20 hours
20 or more hours
What days of the week are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Which types of programs are you interested in volunteering for?
Homelessness
Missing Persons
Human Trafficking
Legal Assistance
Advocacy
Event Support
Fundraising Assistance
Social Media Support
Mental Health Support
Outreach Services - Remote
Outreach Services - Personal Interaction
Administration Support
Photography
Investigative Support
Other
Please list any relevant experiences you have that you feel would benefit any of the above programs or events.
What is your work preference?
Remote - I have my own computer/laptop and/or cell phone if required
Remote - I do not have my own computer/laptop and/or cell phone
Onsite at an AIDBIPOC location
Other
please select one only
Earliest Start Date
*
End of Availability (if applicable)
Do you have any physical or mental limitations? If so, please explain here:
Employment Information
Current or Last Employer
Direct Supervisor Name
First
Last
Direct Supervisor Work Phone
Direct Supervisor Work Email
*
Employer Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Employer Website / URL
Date of Hire
Date of Separation (if applicable)
Number of Hours Worked Per Week
Is there any additional information about yourself that you would like to share with us?
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