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Volunteer and Intern
Group Volunteer Application
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Group Volunteer Application
Contact Information
Name of Organization or Group:
*
Are you a student organization?
*
Yes
No
If yes, please list school name.
*
Mailing Address for Group:
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Name of Group Contact:
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Contact Phone:
*
Alternate Phone
Contact Email:
*
Emergency Contact Person (not participating):
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Emergency Contact Phone:
*
Emergency Contact's Relationship to Group:
*
Group Volunteer Project
Please select the volunteer/internship opportunities you are interested in?
*
YWCA Meal Program
Maintenance and Grounds Beautification
Donation Drive
Availability
Would you like your group volunteer project to be reoccurring or a one-time project?
*
Reoccurring
One-Time
If reoccurring, please note frequency (ex: monthly, weekly, annually) and Requested reoccurring schedule (ex: first Monday of the month, every Tuesday).
If one-time, please note preferred date.
Does anyone in your group have any physical limitations or health concerns which would need accommodations or prevent from performing certain kinds of work?
*
Yes
No
If yes, please explain:
Experience
Has your group previously volunteered with the YWCA?
*
Yes
No
If yes, when and what was the project?
Has your group had any experience or training surrounding the issues of domestic violence, sexual assault, stalking, human trafficking, and/or the effects of trauma on children?
*
Yes
No
If yes, explain:
ALL VOLUNTEER GROUP MEMBERS
Number of volunteers expected in your volunteer group (no more than 10):
*
Please enter a number from
1
to
10
.
Please list the names of the individuals participating in the group project. Names can be added or deleted prior to the volunteer dates, but please note that all individuals volunteering must sign and submit a Confidentiality Agreement prior to their participation or knowledge of shelter location.
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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First
Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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First
Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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First
Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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First
Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
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Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Please attach Visitor Confidentiality Form(s).
Drop files here or
Accepted file types: pdf, docx, xls, jpg, gif, png.
Phone
This field is for validation purposes and should be left unchanged.
