Name: Home Address: Home Phone: Cell Phone: Email: Company Name: Business Address: Business Phone:
Availability and Preferneces Do you prefer short (one or two days) or long (several weeks or months) assignments? Do you drive and have access to a car or do you prefer to take assignments near public transportation? What days of the week and times are you available to volunteer? What population do you prefer to volunteer with? (Please check all that apply):
Pre-School Elementary School Teens Adults Seniors Men Women Developmentally Disabled Emotionally Disabled Medically Compromised Other Do you prefer to work in Highland Park, or are you able to travel to surrounding communities? Tell us about your interests, skills, talents, and hobbies.