Volunteer Application Form

Please complete this application form if you are interested in becoming a Lyngblomsten volunteer. Once you complete the form, click the Continue button at the bottom.

Name and address

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Place of Birth:

Date of birth:

I am a US Citizen:

Is this required service?:

To:

# of hours required:

If yes, required by:

Emergency Contact Info

Information is needed for emergency use only.

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

Availability

Please indicate the days and times you are usually available to volunteer.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters
We use these "newsletters" to notify you of upcoming events and important information from Volunteer Services.

Recruitment appeals
This is how we inform you about different volunteer opportunities.

Gathering Communication

Staff Volunteer Newsletter

How did you hear about Lyngblomsten volunteering?

This helps us to know who to thank for sending a great volunteer our way!

Referred by:

Agreement and Photo Release

I understand and agree that submitting this application form does not automatically register me as a Lyngblomsten volunteer. An orientation, background check and possibly an interview will take place prior to the start of my volunteerism.

After the completion of the above outlined process, Lyngblomsten will ask for a commitment of volunteerism that includes 40 hours per year of service for non-Service Learning volunteers. Service Learning volunteers are asked to commit to at least 15 hours per semester.

I understand that Lyngblomsten may take pictures for publishing in Volunteer Services newsletters or Lyngblomsten marketing materials. I give my permission should a photograph be used for such purposes.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree