Volunteers United: Volunteer Registration Form

First

Last

Street Address

City/Town

State/Province

ZIP/Postal Code

Country

Birthdate

Phone Number

Ext:

Organization Name

Place of Work, Service Organization, Church, etc.

Organization Phone Number

Ext:

Would you like to receive our monthly volunteer opportunities email?

Yes

Please select your availability (Select all that apply)

Weekday morning

Weekday afternoon

Weekday evening

Weekend

In-Person

Remote

Other…

Please add any other notes or comments regarding your availability

Are you a student?

Yes

What causes or programs are you most interested in? (Select all that apply)

Children's issues

Supporting others to obtain financial stability

Health

Education

Crisis relief

Other…

How did you hear about Volunteers United?

Family, Friend or Coworker

Newspaper

Online search

Other…

Other:

Are there any gaps in community services that you think UWHC could help to address? If so, please explain.

Because of the vulnerable populations we serve, it is necessary for United Way of Hancock County to conduct a basic background check on volunteers. I authorize United Way of Hancock County to perform a basic background check on me and understand that if I decline, volunteering opportunities through UWHC may be limited.

Yes