Name ___________________________________________________________________________________

Address _________________________________________________________________________________

Phone Home_____________Mobile_________________________Email ______________________________

Best time to call (ex. not before 9am or after 8 pm) _______________________________________________

Availability (check all that apply) Daytime_____Evenings_____Weekends_____Weekdays_____Seasonal_____

Willing to accept regular assignment (ex. 2 hrs per week) ____________Call only when needed ____________

Previous experience that might be of interest (ex. volunteering, retailing, teaching, artist, crafts, etc.)

________________________________________________________________________________________

Foreign Language (ex. French, Spanish, Sign etc)_____________________Fluent _______Understand_____

Preferred time for training: Evenings ____________Daytime ________________Weekends ______________

Please check any and all areas of interest (if interested we’ll train you)

Docent___________ Chaperone tours _________Training of volunteers ____________Teaching___________

Preparing materials for volunteers _________ Working with children ___________ Young Adults ___________

Research _________ Retailing __________ Making phone calls __________ Speakers bureau ____________

Computer work/office assistance _______________ Interior beautification (a.k.a. housekeeping) __________

Exterior beautification (a.k.a. weeding and gardening) ___________

Special Events (planning and working)________ Entertainment (bringing cookies to meetings) ____________

Names of friends who might be interested. With their phone number and email addressees:

_________________________________________________________________________________________