Volunteer Application Form

General Information

Volunteer, Organization, or Group Name*

Date of Birth

Address

City

State

Zip

Phone

Alternate Phone

Email*

For volunteers under the age of eighteen. By entering the parent name below, the parent or guardian permits the above person to volunteer at Avondale House.

Parent/Guardian Name

Emergency Contact

Emergency Contact Phone

Relationship to Volunteer

Volunteer Preferences

With which of our clients are you interested working? (Check all that apply)

Day School (client ages 4-22)

Day Habilitation (client ages 22+)

Group Home Residents (clients ages)

No Client Interaction

What type of volunteer activities interest you? (Check all that apply. *Training Required)

Working directly with students/clients in the classroom*

Group Home recreational activities

Field trip helper

Assisting with school parties

Administrative/clerical help

Front Desk/Reception*

Light maintenance/landscaping

Fundraising Events (Annual Luncheon, Marathon, Bingo Bash, etc.)

Other

If you are interested in working with Avondale House clients, is there is a specific age group with which you would like to volunteer? Please specify.

Do you speak any languages other than English? If so, please list them

What are the days and hours you are available to volunteer?

Do you have any hobbies, interests, or skill set that you would want to volunteer?

How many hours per week would you like to volunteer?

How did you hear about Avondale House?

Is there anything else we should know about you?

Enter code shown below* Type the following characters: three, six, romeo, mike

X Code