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*Name:
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*Home Phone:
Work Phone:
Fax:
Cell Phone:
1. Available to Volunteer
Weekly Monthly Yearly (e.g. special events, fundraisers, PR weeks) Whenever needed Can be called on with short notice for a specific job
If Weekly, Which days? How many hours/week?
If Monthly, How many hours/month?
2. Times Most Generally Available: A.M. or P.M.
3. From what starting date would you be available to begin volunteering?
*Why are you interested in volunteering for ECC?
2. Have you volunteered for other organizations? Yes No
If yes, please explain the most satisfying aspects of your experience:
3. List your past volunteer experiences, starting with the most recent first:
Organization
Beginning Date - End Date
Role
4. Have you ever been convicted of a crime? Yes No
If yes, explain, when, where and disposition of the case.
Highest Grade/Year Completed
Major Area of Study
Diploma/Degree Received
High School
College/University
Other
Please indicate any training or courses that you have taken that you feel are relevant to the volunteer activity, need or interest area you are applying for:
Languages Spoken: English Spanish Other Languages Written: English Spanish Other
Computer Skills:
Have you attached a resume to this application? Yes No (Note: We would appreciate your enclosing if readily available.)
Please check the following areas that are of most interest to you:
Grant writing, presentatiions and follow-up Advocacy (polling / analysis, letter writing, networking) Newsletter: (preparing, adapting articles, reproduction and mailings, etc.) Clerical Assistance: (typing, correspondence, filing, photocopying, mailings) Assistance in Research and Analysis Computer Assistance: (record updating, spreadsheets, maintenance) Internet and Web Page Support (design and content developer, maintenance, etc.) Other Professional services (legal, business / financial, real estate, housing, property management, marketing, social / psychological services, etc.) Public relations and communications (brochures, speakers bureau, media, etc. Community development, neighborhood outreach (planning, focus groups, etc.) Education, training and/or Mentoring (literacy and life skills, etc.) Recreation and Entertainment (planning, coordination, hosting and supporting events and activities, etc.) Volunteer Coordination Committee: establish database, coordinate with staff, contact and follow-up with participants, etc.) Telephone Committee: to call members, volunteers to advise / remind them of meetings or other events Fundraising Committee: to assist in planning and implementing fund development Fundraising and special Events - support in organizing and conducting events Public Awareness: represent ECC at booths in malls, fairs, public displays. Resident Support Activities (being a friend, shopping assistance, spiritual connection, housing aide, etc. Housing Support activities (building maintenance, grounds keeping, etc.) Other
Please list the names, addresses and phone numbers of 3 personal references you may wish us to contact for a reference on your volunteer performance (Note: please exclude using family members as references).
Name
Address
Phone Number
1)
2)
3)
How did you hear about us?
Confidentially and Participation Agreement:
I certify that the information I have given on this form is accurate and complete to the best of my knowledge. By signing this application, I agree to treat any organizational, staff, fellow volunteer and/or resident information I may come in contact with as highly confidential. I will not discuss or divulge any information, which I hear, see, read or otherwise acquire except what is appropriate to discuss with Eastman Commons officials, staff and/or fellow volunteer in a private meeting.
Further, I understand that my service to Eastman Commons is provided in the capacity as a volunteer and not a paid or otherwise compensated party and accordingly I hereby waive any claim against Eastman Commons for services I provide as specified herein or am hereinafter assigned as an Eastman Commons designated volunteer. My services will be utilized at the discretion of Eastman Commons and may be terminated at such time with or without cause as Eastman Commons, in its sole discretion, may deem necessary or appropriate.
*Signature of Applicant:
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