Group Volunteer Application
Group
Information
Page 1 of 4
Volunteer
Opportunities
Page 2 of 4
Background
Check
Page 3 of 4
Volunteer
Agreement
Page 4 of 4
All required fields on this form are marked with a
*
and
must
be completed.
Primary Group Contact
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Select One
--------
Florida
--------
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Contact Details
Phone
*
Email Address
*
Preferred Method Of Contact
Email
Phone Call
Secondary Group Contact
Who should we get in touch with
if the primary contact is unavailable?
First Name
*
Last Name
*
Contact Details
Phone
*
Email Address
*
Preferred Method Of Contact
Email
Phone Call
Budget
Does the group have an available budget for this project
*
Yes
No
Amount ($ dollars)
*
Does your employer have a matching gifts program?
Yes
No