Mentor/Volunteer Application Full Name*Street AddressCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificPhone*Email List Previous Volunteer ExperienceOrganization/Agency:Volunteer Position:Duties:Organization/Agency:Volunteer Position:Duties:List special skills or background that make you a good volunteer:Volunteer Interest: Arts/crafts Tutoring Mentoring Cooking Musical instrument lessons Bible studies/worship services Landscaping Wood Working Special Events References:Please list three references that are not related to you. 1. Name:*Address:*Telephone:*Relationship*2. Name:*Address:*Telephone:*Relationship*3. Name:*Address:*Telephone:*Relationship*Volunteer Commitment:How often would you like to volunteer?Weekly Sunday Monday Tuesday Wednesday Thursday Friday Saturday Please select days availableMonthly Sunday Monday Tuesday Wednesday Thursday Friday Saturday Please indicate days availableSpecial Events Charity Golf Classic-July 5K Run/Walk Festival of Trees Mt. Vernon-November Please check interested eventsHow long would you like to volunteer? 0-3 months 3-6 months 6-12 months 1 year or more CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
