1. Contact Information

* 1. Thanks for your interest in becoming an Opportunity Junction volunteer! Please complete this form.

* 2. Emergency Contact Info

* 3. Are you over the age of 18?

* 4. Are there other emails or phone numbers that will help us to reach you?

* 5. How did you hear about Opportunity Junction?

* 6. Why would you like to volunteer with Opportunity Junction?

* 7. What are you interested in doing? Please check all that apply.

* 8. When would you like to volunteer?

Beginning Date
Ending Date

* 9. What days and times are you available?

  9 am - 12:30 pm 12:30 - 5 pm 5 - 9 pm

* 10. Computer Skills - Please indicate your level of knowledge

  High Medium Low Dont Know
Using Windows
Using the Internet
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Microsoft Access

* 11. Languages - Please indicate any other languages that you speak

  Low Intermediate High

* 12. Experience/Other Skills - What experience(s) might have prepared you to tutor, teach, or help in other ways? What other skills might you be able to share?

* 13. What do you do with your time now?

* 14. If you are working, please tell us where you work and what you do. If you volunteer elsewhere, please tell us where.

* 15. Anything else you would like us to know?
Do you belong to any groups that might wish to support Opportunity Junction?
Are you only available on certain days or at certain times?
Knowing your preferences lets us contact you for activities in which you are more likely to be able to participate.
Your comments are welcomed!

* 16. Do you have any criminal convictions?

* 17. By entering my name below, I certify that the statements made in this application are true and correct.