Volunteer Application

*denotes required field

Personal Information

Name (first, MI, last)*
Address*
City*
 State*
 Zip Code*
Home Phone*
Cell Phone
Work Phone
Emergency Contact Name
Emergency Contact Phone #
T-shirt Size
Email*

Date of Birth (month/year)

School
 Occupation
 Employer

Would you be interested in volunteering as a family?

References

(Please list two (2) personal references other than family)

Name*
 Phone*
Name*
 Phone*

 

Are you willing to let The Rainbow Connection do a police clearance?

 

Skills/Experience

Please check all that apply. **please specify below

Tasks

Please check any tasks that you would be interested in volunteering for.

Traits

Please check all that apply.

 

Do you have weekday volunteer availability?

Are there any special skills or training that you would like to share with The Rainbow Connection?

** Use this space to clarify any skills listed above

How did you hear about The Rainbow Connection?

(name):
(name):
    (name):
: (source):

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