Volunteer Form

Volunteer Form
* Required Fields
*First Name:
*Last Name:
*Address:
City: State:
Zip:
Home Phone:
Work Phone:
Employer:
Occupation:
Email:

In case of emergency contact:
*First Name:
*Last Name:
*Relationship:
*Address:
City: State:
Zip:
Home Phone:
Work Phone:
Do you have any medical conditions we should be aware of:  Yes No
If yes, please describe:

I would like to volunteer in the following areas:
 Data Entry Work
 Weekly Office Work (requires a set schedule)
 On-call Office Work
 Special Events/Outreach Projects
 Member Support Phone Campaigns
 Yes, I think my company would like to get involved in a membership campaign.

My Availability:
Mon Tue Wed Thur Fri Sat Sun
Computer Skills:
Other:
 No experience with computers but am willing to learn.

Special skills, jobs, or activities you enjoy:
Other organizations, service clubs or charity groups with which you are involved:
Are there specific jobs you would like to do?
Are there specific jobs you do not like to do?
We all have interesting backgrounds. Please share some information about yourself.
Newspaper(s) you read regularly:
Types of books you enjoy:
Favorite KTWU Program:
 I understand the information I provide is voluntary and confidential and will not be released without my written permission.