| General
Information |
| Date: |
|
| Name: |
|
| Address: |
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| City/State/Zip: |
/
/
|
| Home
Phone: |
|
| Work
Phone: |
Ext.
|
| Fax: |
|
| Email: |
|
| Optional |
| Date of Birth: |
Sex:
Male
Female |
| Ethnic Origin: |
|
| I.
Skills and Interest: Information used for matching you to a volunteer
position |
| Education
Background: |
|
| Current
Occupation: |
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| Hobbie,Interest,Skills: |
|
| Previous
Volunteer Experience: |
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| Age(If
Under 18): |
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| II. Do you prefer to volunteer at the United Way of Calvert County House or with a specific UW agency? |
|
United Way of Calvert County House |
|
UW Agency: If yes, which one?
Agency
Name - Use this link to locate an Agency. |
| III. Is
there a particular type of volunteer work that interest you? Select all
that apply |
| To select
multiple interest, hold down the "Ctrl" key" and click
on each selection. |
|
| IV. Is
there a person or group with whom you are particularly interested in working
with? Select all that apply. |
| To select
multiple interest, hold down the "Ctrl" key" and click
on each selection. |
|
| V.
Availability |
| Time
Preference: |
|
| Location
Preference: |
|
| VI. Would you be available to volunteer during a Community Emergency Response (hurricane, tornado, flood, terrorist attack, etc.)? |
|
Yes
No |
|
| VII. How did you hear about
us? |
| To select
multiple interest, hold down the "Ctrl" key" and click
on each selection. |
|
| Have you volunteered before? |
Yes
No |
| Do you speak another language fluently? |
Yes
No
|
| If yes, which one? |
|
| Volunteer Service Opportunities.
Select as many as interest you |
| To select
multiple interest, hold down the "Ctrl" key" and click
on each selection. |
|
