Volunteer Connection - Volunteer Application
Today's Date
Volunteer Categories:
(Check all that may apply)
Youth
Adult
Physically/Mentally
Challenged
Office
Mailings
Soup Kitchens
Legal
Pregnancy
Literacy
Crisis Intervention
Environment
Elderly/Healthcare
Animals
Days of Caring
Name:
Address:
City/State/Zip
Home phone:
Please use (xxx-xxx-xxxx) format.
Work phone:
Please use (xxx-xxx-xxxx) format.
Cell phone:
Please use (xxx-xxx-xxxx) format.
E-mail Address:
Student:
Where:
Are you under
the age of 18?
If yes, what
is your age?
How did you learn about the Volunteer Connection?


Coordinator, Volunteer Connection
United Way of Wabash Valley
P.O. Box 3094

Terre Haute, IN  47803-0094

Telephone: (812) 235-6287

Fax:  (812) 235-3901
Email: joan.kutlu@unitedway.org
Website: www.uwwv.org