Contact InformationName(Required) First Last Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneBusiness Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Business PhoneCell PhoneEmail(Required) Enter Email Confirm Email Date of Birth MM slash DD slash YYYY Preferred Contact Location Home Work Valid Driver’s License Yes No Emergency InformationSpecial medical needs/conditionsEmergency procedures (if applicable)Emergency Contact InformationName First Last RelationshipHome PhoneOther PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands AvailabilityMonday HoursTuesday HoursWednesday HoursThursday HoursFriday HoursWeekend HoursStart Date MM slash DD slash YYYY Hours NeededCompletion Date MM slash DD slash YYYY Education/ExperienceHighest level completedInstitutionOccupationHow did you hear about For One Life?What are you interested in volunteering for?Previous volunteer experience(s)InterestsPlease mark all that apply Layout/writing newsletters Organizing Making phone calls Answering phones Proofreading/editing Readings (newspapers, etc.) Representative for the Council Creative memories/scrap Stuffing, sealing, etc. Internet research Teaching/training Staffing booths Planning, steering, or other committee participation Library work Working with children on projects Cleaning Using the copy machine Data entry Attention to detail work Filing Mailings/booking Sewing, quilting, crochet or knitting Other crafts Shopping Special events Other interests not included aboveSkillsPlease mark all that apply Microsoft Word Excel PowerPoint Web Publishing Software (e.g. PageMaker) Internet Telephone Media technology Mailings Grant writing Fundraising Public speaking Writing and/or editing articles or press releases Training Using copy machine Child development knowledge What other specific skills, experience and/or resources can you offer?Would you be interested in helping out in special events throughout the year? Yes No Do you have proficiency / skill in another language other than English Yes No If so which language?Proficiency of language specified above Speaking ability Reading ability Writing ability Is there another language?Proficiency of language specified above Speaking ability Reading ability Writing ability Applicant’s StatementThe information contained in this application is correct to the best of my knowledge and permission is hereby given for any investigation that may be necessary. I understand that misleading or untruthful information on this application may result in my dismissal from any volunteer job consideration. I authorize any references listed in this application to relay information they may have regarding my character and fitness for work on behalf of children. I release all such references from liability for any damage that may result from furnishing such evaluations to you, and I waive any right that I have to inspect references provided on my behalf. I agree
