Pride Venter of Vermont (PCVT) Celebrates, Educates and Advocates with and for LGBTQ Vermonters. We are asking that every potential Volunteer fill out this application. Our goal is to cultivate a group of Volunteers with a broad range of experience, diversity, and strengths. Please fill out what you are comfortable sharing with us on this application, and we will attempt to accurately match your strengths and talents with our organization's needs. Please feel free to contact us with any questions about the attached list of Volunteer responsibilities, or other aspects of our program. The main contact for this information is the Resource Coordinator, whose number is (802) 860-7812 or email is Thanks again for your interest!

* 1. General Information

* 2. How did you hear about PCVT?

* 3. Skills & Interests (resume can also be emailed to

* 4. Availability
How much time are you interested in volunteering?

* 5. Generally, what days and times are you available? (Check all that apply)

  Morning Afternoon Evening

* 6. Volunteering
Are you volunteering to complete a community service requrement?

* 7. If yes, for:

* 8. How many hours are required?

* 9. Please indicate whether you have any of the following abilities and/or interest:

* 10. Why have you chosen to volunteer for PCVT?

* 11. List of Available Volunteer Opportunities. Please choose the position(s) that interest you.

* 12. Background Verification
Have you ever been convicted of a criminal offence? If so, please explain.
*Note: Conviction will not necessarily bar you from volunteering.

* 13. Do you consent to having a background check?

* 14. Is there anything else you would like us to know about you?

* 15. References
Please provide two references. Please indicate their name and relationship to you.

* 16. Signature (please type full name):

* 17. Date

Please enter date signed.