Contact Information


Emergency Contact

In the event of an emergency whom should we notify?



Areas of Interest (Please check all that apply)


Other skills or experience you would like to offer


Availability (Monday-Thursday)

Monday - Thursday only. 

Typical shifts: 9 am - 12:30 pm or 12:30 pm - 4 pm



Reason for Volunteering:

Please Specify: Voluntary, School, or Court



Confidentiality Agreement


As a volunteer of this organization, I understand that I may have access to confidential information, both verbal and written, relating to clients, volunteers or staff and the organization. 

I understand, and agree, that all such information is to be treated confidentially and discussed only within the boundaries of my volunteer position at this organization. 

I also agree not to discuss these same matters after I have left my volunteer position at this organization. I further understand that breach of this agreement shall constitute grounds for and may result in termination of my volunteer status with this organization. 

I have read and understand the above regarding Confidentiality Agreement: