Individual Volunteer Application

Contact InformationName: ________________________________ Email: ___________________________ Phone: _______________________Street Address: _____________________ City: __________________ State: ____ Zip: _________

Personal InformationAge: (16-25) (26-50) (50+)

Availability (check all that apply)

Day: □ Mon □Tues □Weds □Thurs □Fri □Sat

Morning (9-12): □ □ □ □ □ □

Afternoon (12-4): □ □ □ □ □ □

Evening (4-7): □ □ □ □ □

Frequency: (Daily) (>Once a week) (Once a week) (>Once a month) (Once a month) (<Once a month)

Why would you like to volunteer at Congreso?

What would you like to do at Congreso?

Previous Volunteer ExperienceWhere have you volunteered before? What were your responsibilities and for how long?

Volunteer Specifics (check all that apply)Area: □ Administrative □ Direct Service □ Beautification □ Community Engagement

Interests: □ Education □ Employment □ Health □ Family □ Housing

Populations: □ Children □ Teens □ Adults □ Agency Staff □ Disabled □ Females □ Males

Skills: □ Bilingual □ Teaching □ Computer □ Quantitative □ Organization □ Research □ Detail Oriented □ Interpersonal □ Independent □ Enthusiastic

Access to a car for volunteering: □ Yes □ No

How did you hear of Congreso? - Friend, Internet, Word of Mouth, Advertisement, Neighborhood, School, Employer, Former Client

Other:

Additional Information?