Volunteer Application
Name: *First Name *Last Name
Address: Street Apt City State Zip
*Email
Phone: Cell Phone Home Phone Work Phone Other Cell Phone Home Phone Work Phone Other
What is the best time to reach you? Which number? Cell Phone Home Phone Work Phone Other
What made you decide to volunteer at Genesis/Tree of Life? Friend or Co-Worker Genesis/Tree of Life Website Other Website Please specify: Other Please specify:
Availability:
Weekly 1 - 3 times per month 3 - 6 times per month Special Events
Please indicate the days and times you are usually available to volunteer
Times:
Do you have any medical conditions we should be aware of?
Interests: Please list your hobbies, interests and any other volunteer experiences you have had whether present or past. Please also include all language skills.
Character Reference *First Name *Last Name Relationship *Phone: Cell Phone Home Phone Work Phone Other Cell Phone Home Phone Work Phone Other *Email Demographic Information: You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
Birth Date (MM/DD/YYYY) Gender Female Male * Education Associate Degree College Degree High School Doctorial Masters Some College Trade/Vocational School High School College
Genesis Tree of Life Volunteers are essential to our operation. Below is a list of potential volunteer tasks:
PLEASE PRINT OUT AND FAX TO 718.544.5488