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Volunteer Information-Intake
Volunteer Information-Intake
Name
Street Address
City State Zip
Phone
email
Facebook (Social Network)
Emergency Contact Name
Emergency Contact Phone
During which hours are you available for volunteer assignments?
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
Occasionally
Regularty
For Special Occasions
Tells us which areas you are interested in volunteering.
Administration
Events / Field Work
Fundraising
Transport / Deliveries
Volunteer Coordination
Other (please explain)
Special Skills, Qualifications, Interests and Previous Volunteer Experience
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand the integrity is a condition of participation in the House of Gaia volunteer community.
By Clicking this box I confirm my Electronic Signature