UWPC Volunteer Application
1.
First and Last Name
2.
Address
3.
Contact Number
4.
Email Address
5.
Emergency Contact (Name, contact number + relation)
6.
How did you hear about this volunteer opportunity?
7.
What program are you interested in?
Reading Buddies
VITA (Volunteer Income Tax Assistance)
Winter Wishes
Other (please specify)
8.
What days are you available to volunteer? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9.
Please share the time of your availability? (Please specify if different days require different times)
10.
Do you require any special accommodation in order to volunteer?
11.
Are you looking for internship credit?
Yes
No
12.
Have you ever been convicted of a crime? (Please note that all Reading Buddies volunteers need to have background checks and be finger printed.)
Yes
No
13.
ONLYFOR Reading Buddies- Reference #1 (Name, contact number and email)
14.
ONLY FOR Reading BuddiesReference #2 (Name, contact number and email)
15.
Is there anything else you'd like us to know?
