Volunteer Application Form

General Information

Volunteer, Organization, or Group Name*

Date of Birth

Address

City

State

Zip

Phone

Alternate Phone

Email*

For volunteers under the age of eighteen. By entering the parent name below, the parent or guardian permits the above person to volunteer at Avondale House.

Parent/Guardian Name

Emergency Contact

Emergency Contact Phone

Relationship to Volunteer

Volunteer Preferences

Which of our program participants are you interested in working with? (Check all that apply)

Adult Day Program (ages 22+)

Group Home Residents (ages 22+)

No Program Participant Interaction

What type of volunteer activities interest you? (Check all that apply. *Training Required)

Working directly with program participants in the classroom*

Group Home recreational activities

Field trip helper

Assisting with school parties

Administrative/clerical help

Front Desk/Reception*

Light maintenance/landscaping

Fundraising Events (Annual Luncheon, Marathon, Bingo Bash, etc.)

Other

Do you speak any languages other than English? If so, please list them

What are the days and hours you are available to volunteer?

Do you have any hobbies, interests, or skill set that you would want to volunteer?

How many hours per week would you like to volunteer?

How did you hear about Avondale House?

Is there anything else we should know about you?

Enter code shown below* Type the following characters: six, six, hotel, foxtrot, three

X Code