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General Volunteer Form

Thank you for your interest in volunteering with us! Please fill out this form and we will get back to you shortly.

Date(Required)

Name:(Required)

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:

Cell:

Email:(Required)

In Case of an Emergency, please contact:(Required)

Name:(Required)

Phone:(Required)

Cell:

Relationship:(Required)

Check the days and times that you are available to volunteer:(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Times:(Required)

Morning:(Required)

Afternoon:(Required)

Do you have your own transportation?(Required)

Yes

No

What type of job skills do you have?(Required)

Computer Skills

Social Media

Filling

Data Entry

Research Skills

Fundraising Experience

None of the above

Other:

Choose the types of volunteer activities that you prefer:(Required)

Office/Clerical

Reception/ Phone

Marketing/Promotion

Social/ CIP Activities

Peer Support

Legislative/ Advocacy

Fundraising 5k

Youth Program

Life Skills Classes

Consumer Survey

Why are you interested in volunteering at Ability 1st Utah?(Required)

What requirements do you need to complete volunteer hours?(Required)

What are your expectations?(Required)

Please list previous volunteer jobs, dates, supervisor(s), phone, and what you enjoyed most/ least about each experience:

Agency:(Required)

Phone:(Required)

Dates Worked:(Required)

Supervisor(s):(Required)

Responsabilities and what you enjoyed most/ least about this experience:

Ability 1st Utah has a vital interest in maintaining a safe, healthy, and productive work environment for its volunteers, employees, and consumers. As a result, all individuals who are accepted in the Volunteer Program will be required to successfully complete a fingerprint and background check. Ability 1st Utah reserves the right to terminate an applicant for the Volunteer Program or a volunteer at anytime. I hereby state the above information is correct to the best of my knowledge and authorize verification of all statements contained in this application. I understand that misrepresentation or omission of facts may render me ineligible for consideration.(Required)

I understand

Signature:(Required)

Your Name
Your Name
Your Name

Date:(Required)