Online Volunteer Application


Username:
Password:

General Information

Date:
Name:
Address:
City, State:
Zip Code:
Work Phone:
Home Phone:
Best Time to Call:
Best Number to Call:
E-Mail:

Emergency Contact

Name:
Relationship:
Contact's Phone

Areas of Interest

Language Skills

Special Skills & Interests:

Highest Level of Education Completed:

Previous Volunteer Experience:

What type of volunteer work are you interested in?

English Tutoring	Fundraising	Apartment set-up
Interpretation / Translation	Escort for Social Services	Citizenship Classes
Youth Services	Donations	Newsletter Mailings
Mentoring	Other

If other, please explain

Availability

What days and times are you available to volunteer?
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday / Sunday:
How soon can you begin volunteering?

Do you have reliable means of transportation?

References

Please list two non-relatives as references.
Reference One
Name:
Daytime Phone:
Address:
City, State:
Zip Code:
Reference Two
Name:
Daytime Phone:
Address:
City, State:
Zip Code:

URGENT!

KRM currently needs winter coats, blankets and twin sheets, drinking glasses and personal hygiene items for newly-arriving refugee families. Please contact Gaby Salazar at 479-9180 ext. 15, gsalazar@kyrm.org, if you'd like to make a donation.