Volunteer Intake Form

Information you will need

• VOLUNTEER ONLY: What’s your name?
• What’s your street address?
• In what city do you live?
• In what state do you live?
• What's your ZIP code?
• What's your email address?
• What's your phone number?
• What other language do you speak? (if applicable)
• Are you volunteering anywhere else?
• Why are you required to volunteer?
• How many volunteer hours are you required to complete? (if applicable)
• What's the deadline? (if applicable)
• What are your physical or medical limitations?
• Are you required to fulfill volunteer hours?
• ORGANIZATION ONLY: What's the name of the volunteer organization?
• What’s your date of birth?
• Who's your emergency contact?
• What’s your relationship to your emergency contact?
• What's their email address?
• What's their phone number?
• What’s your volunteer availability?
• What’s the volunteer assignment you would like?
• What are your skills and qualifications?
• What's the organization name?

…and 7 more fields in the PDF.

The form includes 1 signature line, a notary acknowledgment.