Iowa Public Television
Educational Services Department
Volunteer Application

Volunteer Application

Thank you for taking the time to fill out our application! Your time and effort are valuable to us. By filling out this application, you help us understand your needs and motivations, so that we can provide the best possible experience for you. All information provided to us will be kept private.

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* 1. Please provide your contact information:

First and Last Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Best Method for Contact:

Phone

Text (by phone)

Letter

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* 3. Skills and Interest

Education Background:

Current Employer or School:

Hobbies, Interests, Skills:

Previous Volunteer Experience:

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* 4. What type of volunteer work interests you?

Research and Evaluation

Technology services (examples: blogger, social media, web development)

Communication Services (examples: writing, creating promotional materials, social media)

Resource Development (examples: grant writing, grant research)

Volunteer Management/Recruitment

Office Work (examples: filing, data entry, prepping materials, etc...)

No Preference

Other (please specify)

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* 5. Availability

Flexible

Prefer weekdays

Prefer weekends

Prefer mornings

Prefer afternoons

Prefer evenings

Times I cannot do volunteer work:

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* 6. Do you need accommodations to serve?

Yes (please specify.)

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* 7. How did you hear about us?

Volunteer Match

Volunteer United Way Site

Craigslist

Word of Mouth

Flyer

Brochure

Other (please specify)

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* 8. References

Name

Number

Name

Number

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* 9. Emergency Contact

Name

Number