Thank you for your interest in becoming a volunteer at Easterseals Florida! Please complete this application form and click the submit button at the bottom. The volunteer administrator will contact you soon to schedule your program tour (based on the availability you provide in this application).

If you need assistance, please contact Jessica Kraemer, Volunteer Coordinator, at or 561-422-9602, extension 16131.

Contact Information

Emergency Contact

In the event of an emergency whom should we notify?


We'd like to learn a few things about you!


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

Additional Information

Background Check

Those who volunteer 10 hours per month or more are subject to a Level II background screening at the volunteer's expense. Volunteers will be reimbursed for their background check and receive a volunteer t-shirt after completing 50 hours.

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.


I certify that all answers given by me are true, accurate and complete. I understand that falsification, misrepresentation, or omission of fact on this application (or on any other accompanying or required documents) will be cause for denial of volunteer opportunities, or dismissal from volunteer work regardless of when or how discovered. I agree to participate in all necessary background screenings.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.