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Our Volunteer - PDF Download PDF

VOLUNTEER APPLICATION FORM

 

Thank you for your interest in volunteering for CHILLA! Thank you for your dedication, enthusiasm, ingenuity and your generous offer of assistance.

Please help us to determine how to make the best use of your skills as a volunteer by filling out the questions below:

 
GENERAL INFORMATION
 
First Name:    Last Name:  
 
Address:  
 
 
City:   State:   Pin: 
 
Home # :   Business # :   Ext. 
 
Cell # :     E-mail:  
 
What is your preferred method of communication?

      E-mail    Phone    Fax

How did you find out about CHILLA?

      Word-of-mouth    Work place    Media (e.g. television, newspaper)    Friend    Special Event    other

What best describes your current situation?

      Employed    Retired    Seeking work    Student    other

 

AVAILABILITY

Please tell us about your availability:

Start Date (dd/mm/yyyy):    End Date (dd/mm/yyyy):  
 
Hours per week: 
 

Please indicate the times when you could be available for volunteering.
(AM: 6:00am - 12:00pm, PM: 12:00pm -10:00pm)

  AM PM
 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

 Saturday

 Sunday

 

AS A VOLUNTEER YOU CAN 
Promote, raise funds and take other initiatives for Chilla.

 

PLEASE SELECT YOUR AREA OF INTEREST AND EXPERTISE:

      General Education   Health Education / Awareness   Self Help Programs

      Fund raising   Promotion   Others

 

REFERENCE:

This should be an employer/supervisor/head of the institution or an individual known through community involvement that you have known for at least 6 months.

Name:  
 
E-mail:    Cell # :   
 
Relationship to Applicant:  
 

TERMS AND CONDITIONS:

CONSENT

I hereby authorize CHILLA to obtain references from the above individual in connection with my application for a volunteer position.
I hereby certify that all information included in this application form is true and complete. I agree to all the terms and conditions stated above.

 
                                                                             
 

THANK YOU FOR YOUR INTEREST IN HELPING CHILLA!