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Volunteer Application
Introduction
*
1.
Nice to meet you! Please share your contact information:
(Required.)
Name
Address
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
Phone Number
*
2.
What is your date of birth?
(Required.)
My birthday is...
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
3.
Married? Spouse name:
4.
Since most staff members work with minors, please be advised that Skylark abides by the National Child Protection Act and conducts criminal record checks. Do you authorize a police or FBI records check?
Yes
No
5.
Have you ever been convicted of a crime other than a minor traffic offense (including while in the military)?
Yes
No
If yes, please explain
6.
Briefly state why you are interested in volunteering at Skylark
7.
Check areas in which you might be interested in serving with Skylark:
Receptionist
Decision Coach (one-to-one peer counseling)
Preparing Mailings
Nurse
Client Boutique - sorting donations and setting up boutique
Bible study leader or assistant
Public Relations
Fund-Raising Events
Mobile Unit Driver
Mobile Unit Pit Crew
8.
What Center are you interested in Volunteering with?
Brunswick
Jesup
Kingsland
Mobile Unit
Current Progress,
0 of 24 answered