Terms & Privacy Policy
Terms & Privacy Policy
Home
Clinic
Care Programs
Client Services
Outreach Programs
Pharmacy
Peer Navigation
Support Services
Intake Form
Food Bank
About Us
Annual Report
Forms
Intake Form
Volunteer Application
Application & Personnel Record
Request to be a Condom Distribution Location
Request for HIV Education Outreach Services
Speaker Request Inquiry
Contact Us
Community Events
Calendar
Donate
Home
Clinic
Care Programs
Client Services
Outreach Programs
Pharmacy
Peer Navigation
Support Services
Intake Form
Food Bank
About Us
Annual Report
Forms
Intake Form
Volunteer Application
Application & Personnel Record
Request to be a Condom Distribution Location
Request for HIV Education Outreach Services
Speaker Request Inquiry
Contact Us
Community Events
Calendar
Donate
Join Our Festival Team
Don't miss these fun and valuable events that need volunteers! These are easy ways to help your community that won't require a lot of your time!
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone
Submit
Volunteer Application
Volunteer Application
It is the policy of this organization to provide equal opportunities without regard to race color, religion, national origin, gender, sexual preference, age, or disability. All volunteers MUST sign an agreement of confidentiality form to assure our clients that you will NOT disclose any personal or highly sensitive client information you may be granted access. Thank you for completing this application form and for your interest in volunteering with us.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 4
Name
*
First
Last
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Home Phone
Work Phone
Email Address
*
Date of Birth
Next
Have you ever pled nolo contendere or been convicted of a felony or misdemeanor?
*
Yes
No
Have you ever had adjudication of guilt withheld to a crime that is a felony or misdemeanor?
*
Yes
No
Have you ever been or are you currently on probation?
*
Yes
No
If you answered YES to any of the three above questions above, please explain
Next
Availablity
Monday Mornings
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wednesday Afternoons
Thursday Mornings
Thursday Afternoons
Friday Mornings
Friday Afternoons
How many hours per week would you be able to dedicate?
3 hour or less
3 to 5 hours
5 to 10 hours
10 to 20 hours
20 or more hours
Tell us in which areas you are interested in volunteering
Front Desk/Hospitality
Newsletter
Food Bank
Clerical
Additional Skills and Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer experiences or through other activities, including hobbies or sports.
Please summarize your previous volunteer experience
Next
Emergency Contact
*
First
Last
Emergency Contact Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Home Phone
Work Phone
Are you physically able to meet the demands of the duties of volunteering? For example: standing or sitting for long periods of times, lifting, bending, stooping, etc.
Yes
No
If you answered NO to the question above, are there any reasonable accomodations we would need to make in order for you to volunteer?
Yes
No
If you answered Yes to the question above, please explain:
Submit