Volunteer

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Your Contact Info

Name(Required)

First Last

Preferred Name (if different)

Date of Birth

Month

Day

Year

Phone(Required)

Email(Required)

Your Address

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Your Address - Details

Street Address Address Line 2 City State ZIP Code

Emergency Contact Info

Emergency Contact Name

First Last

Relationship

Phone

Availability

How often would you like to volunteer?

One-time

Weekly

Monthly

As Needed

Preferred Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Preferred Time of Day

Morning

Afternoon

Evening

Areas of Interest

Companionship/Social Engagement

Recreational Activities

Educational Support

Event Planning and Support

Administrative/Office Assistance

Fundraising and Outreach

Transportation Assistance (if qualified)

Technology/IT Support

Personal Care Support (experience or certification required)

Other

Other Area(s) of Interest(Required)

Skills and Experience

Please list any skills, certifications, or experiences that may be relevant to your volunteer role

Do you speak any languages other than English?

Yes

Languages

Have you previously worked or volunteered with individuals with disabilities?

Yes

Briefly describe your experience(Required)

Background Information

Do you have a valid driver's license?(Required)

Yes

Are you willing to undergo a background check if required?(Required)

Yes

Statement of Certification(Required)

I certify that the information provided in this form is accurate to the best of my knowledge.

Agreement to Participate(Required)

I understand that I may be required to attend orientation and/or training prior to volunteering.

Consent to Contact(Required)

I consent to being contacted by The Way Foundation, Inc. regarding volunteer opportunities.

Signature

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