Edinburgh, Scotland

Volunteer Application

Personal Information

Name: Home #:
Address: Cell #:
City:    State:    Zip Code:
Email:

School Information

School: Current Student? Yes No
Email:
Address:
City:    State:    Zip Code:
Major: Minor:

Emergency Contact Information

Name: Relationship:
Home #:    Work #:   Cell #:

Volunteer Areas of Interest

Position(s):
When are you available to volunteer? mornings afternoons evenings
Where did you learn about volunteer opportunities at HI-USA-Michigan?
What made you decide to volunteer for HI-USA-Michigan?

Special Training and/or Skills

Do you have any educational background, hobbies, skills or interests that will benefit HI-USA-Michigan Council?

Volunteer/Work Experiences

Organization: Dates:
Title: Volunteer Employed
Responsibilities:

Organization: Dates:
Title: Volunteer Employed
Responsibilities:

Organization: Dates:
Title: Volunteer Employed
Responsibilities:

References

List three persons not related to you who can judge your qualifications for a volunteer position in service to HI-USA-Michigan.
Name: Title:
Organization: Phone:
Address:
City:   State:    Zip Code:
Email:
Relationship: Time Known:

Name: Title:
Organization: Phone:
Address:
City:   State:    Zip Code:
Email:
Relationship: Time Known:

Name: Title:
Organization: Phone:
Address:
City:   State:    Zip Code:
Email:
Relationship: Time Known:

I certify that all the information on this application is true and complete. I authorize HI-USA-Michigan to check the reference I have provided and investigate my background in order to verify the information I have provided. I understand that falsified or significant omission of any information may be considered grounds for non-acceptance or release from a volunteer position at a later date.

There shall be no discrimination against an otherwise qualified volunteer by reason of disability, age, race, color, sex, ethnicity, creed, national origin or socioeconomic status.