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| Volunteer Connection - Volunteer
Application |
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Name:
______________________________________ |
Volunteer Categories:
(Check all that may apply) |
Address:
______________________________________ |
| _____ |
Youth |
| _____ |
Adult |
| _____ |
Physically/Mentally
Challenged |
| _____ |
Office |
| _____ |
Mailings |
| _____ |
Soup Kitchens |
| _____ |
Legal |
| _____ |
Pregnancy |
| _____ |
Literacy |
| _____ |
Crisis Intervention |
| _____ |
Environment |
| _____ |
Elderly/Healthcare |
| _____ |
Animals |
| _____ |
Days of Caring |
|
City/State/Zip
______________________________________ |
Home phone:
______________________________________ |
Work phone:
______________________________________ |
Cell phone:
______________________________________ |
E-mail Address:
______________________________________ |
Student: Yes or No
______________________________________ |
Where:
______________________________________ |
Are you under the age of 18? Yes or No
______________________________________ |
If yes, what is your age? ______________
______________________________________ |
How did you learn about the Volunteer
Connection?
|
______________________________________ |
______________________________________ |
______________________________________ |
______________________________________ |
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Volunteer Connection Coordinator
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 |
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