Volunteer Interest Form Name*Date of Birth*Address*City*State*Zip*Best Contact Number*Email*What is the best way to contact you?*Which clinic location do you prefer to volunteer at?Central San JoseEast San JoseMountain ViewUnion CityHow did you hear about us?*What Church/Organization do you attend?Volunteer Experience 1st Program/AgencyPositionSupervisorPhone2nd Program/AgencyPositionSupervisorPhoneEducation/Skills Highest level of educationHigh School/GEDSome CollegeAssociatesBachelorsMastersPhDLicenses/certificationsAre you currently a student?YesNoName of SchoolDescribe other training, skills, talentsIf you speak languages other than English, please list them including ASL and specify if you can speak, read, write and/or sign them.ProfessionEmployerMany companies award employee volunteerism by providing donations to the agencies their employees volunteer with. Does yours?YesNoI'm Not SureAvailability Monday Morning Afternoon EveningMonday: OtherTuesday Morning Afternoon EveningTuesday: OtherWednesday Morning Afternoon EveningWednesday: OtherThursday Morning Afternoon EveningThursday: OtherFriday Morning Afternoon EveningFriday: OtherSaturday Morning Afternoon EveningSaturday: OtherSunday Morning Afternoon EveningSunday: OtherSkills Clerical/Office Administration Communications/Writing Counseling Event Planning Graphic Design Medical Professional Microsoft Office Suite Project Management Public Speaking Social Media PhotographyAreas of Interest Administration/Helping Hands Church Ambassador College Campus Outreach Community Outreach Activities Educator Event Planning/Support HOPE Facilitator/Admin & Rachel's Vineyard Retreats Medical Professionals Patient Services Advocate Practical Support Prayer VineWhat is your #1 ministry interest?What is your #2 ministry interest?Please enter 37:** indicates a required field.
