Thank you for your interest in volunteering for The Julian Center. Please complete and submit the following form. Please note that some of the information being asked is required to complete background checks; other information is needed for local grant funding and the collection of demographic data.
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PERSONAL INFORMATION
First name:
Last name:
Title:
Mr.
Mrs.
Ms.
Miss
Dr.
Rev.
Honorable
Preferred name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
DistrictOfColumbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
NewHampshire
NewJersey
NewMexico
NewYork
NorthCarolina
NorthDakota
Ohio
Oklahoma
Oregon
Pennsylvania
RhodeIsland
SouthCarolina
SouthDakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
WestVirginia
Wisconsin
Wyoming
Zip code:
Email address:
Home phone:
(Second part Third part
Work phone:
Cell phone:
(Second part Third part
Gender:
Female Male
Birth date:
Date and time
Age category:
Adult Minor
Ethnicity:
African American
Caucasian
Hispanic
Multi-cultural/racial
Other
Do you speak any language other than English? If so, please list:
Speaking proficiency level:
Basic Intermediate Fluent
EMPLOYMENT / ASSOCIATIONS
Employer:
Employer address:
Employer city:
Employer state:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
DistrictOfColumbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
NewHampshire
NewJersey
NewMexico
NewYork
NorthCarolina
NorthDakota
Ohio
Oklahoma
Oregon
Pennsylvania
RhodeIsland
SouthCarolina
SouthDakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
WestVirginia
Wisconsin
Wyoming
Employer zip code:
Name of organization:
Do you belong to one of these churches? If so, which one:
Christ Church Cathedral St. Paul's Episcopal Trinity Episcopal Church
EMERGENCY CONTACT
Name:
Relationship:
Phone Number:
EDUCATION
School name:
Location:
Major:
Years attended:
Degree received:
Do you have any other degrees or certificates? If so, please list:
Are you currently a student? If yes, please note where:
AVAILABILITY
What is your availability? Fill in the times you are available to volunteer throughout the week. For instance, if you are available Mondays from 1 p.m. - 3 p.m., please enter 1 p.m. - 3 p.m. next to that day. Remember to denote a.m. and p.m. when entering times. Normally, volunteer opportunities are available between 9:00 a.m. and 8:30 p.m., however times vary depending on the volunteer position. Volunteer opportunities are limited on weekends.
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
What date would you be available to begin volunteering:
How many hours per week are you willing to volunteer:
VOLUNTEER INTEREST
What general volunteer opportunities interest you? If you have multiple interests, please rank the top three. To rank type a 1 next to the opportunity in which you are most interested; a 2 next to your second interest, and so on. For a description of each interest category, move your cursor over the interest name and a description will appear.
Administration:
Fundraising:
Children:
Facilities:
Legal:
Outreach:
Seasonal:
Silent Auction:
Sponsorships:
Thrifty Threads:
Women:
If you have an interest other than the above, please elaborate:
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