Volunteer Interest Form

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

How did you learn of Assistance League of Phoenix? *

What is your availability to volunteer? *

Weekday Mornings

Weekday Afternoons

Saturdays

As Needed

What is your motivation for volunteering? Check all that apply *

Personal Fulfillment	To gain skills or experience
To make an impact in my community	I have a connection to the mission
To contribute my skills, talent or experience	I have service hours to complete
Other Other

Which areas are you interested in volunteering *

Delivering Dreams Bus	Warehouse
Remote Project: Create Affirmation Cards	Remote Project: Coordinate a collection drive of needed items
Thrift Boutique, donation sorting	Thrift Boutique, sales floor/customer service
Special Project/internship	Other

What type of volunteer commitment do you want to make? *

Tell us about yourself. Summarize any skills, hobbies, talents or experience that you'd like to share.

Are you a student? *

No

Yes

Name of School *

Are you employed *

No

Yes

Employer Name

Does your employer have a volunteer matching, or Volunteer Time Off program? *

No

Yes

N/A

Not Sure

Do you have previous volunteer experience? *

No

Yes

Tell us where and your volunteer role(s)

Have you ever been convicted of, plead guilty or no contest to any crime in the past 7 years? *

No

Yes

Please explain. City, date, offense, circumstance *

Please List an Emergency Contact *

Phone Number for your Emergency Contact *

Please list a reference

+-

Phone Number for your Reference *

By submitting this interest form, I affirm that the facts set forth are true and complete. I understand that if I become a volunteer with Assistance League of Phoenix I will be representing the organization and will do everything to represent ALP in a positiver manner.

Signature *

clear

One time experience	On-going (weekly or monthly)	As Needed
Not Sure Yet	Other Other