GENERAL INFORMATION
*Name:
*Address:
*City:
*State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip:
*Home Phone:
Work Phone:
Cell Phone:
*Date of Birth:
*Email:
Please send me emails about Volunteer Opportunities at Ave Maria University.
Are you a Seasonal Resident?
Yes
No
Please provide dates in Naples:
Alternate Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Alternate Phone:
SKILLS AND INTERESTS
Education/Training:
Current/Previous Occupations:
Hobbies/Skills/Interest:
Languages (including ASL):
Current/Previous Volunteer Experience
Are you currently a Founder of Ave Maria University?
Yes
No
VOLUNTEER PREFERENCES
Volunteer Preferences (check all that apply)
Accounting
Artistic
Capital Campaign
Data Entry
Fundraising
Gardening
Grant Writing
Library
Mail Preparation
Maintenance
Medical/Safety
Office Skills
Photography
Public Speaking
Receptionist
Retail
Special Event
Teaching/Tutoring
Tour Guide
Transportation
Other
Please Specify:
What days would you like to volunteer?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
AVAILABILITY
When do you prefer to work?
Morning
Afternoon
Evening
No Preference
What months are you available to volunteer?
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year Round
Would you prefer? (check all that apply)
Scheduled Work (i.e. an assignment with set hours)
On Call (i.e. you are called when a need for a volunteer arises)
Would you like to help with Special Events?
Yes
No
MISCELLANEOUS
Has your driver’s license ever been suspended or revoked in any state?
Yes
No
If yes, please explain:
Do you have any physical limitations or are you under any course of treatment which might limit your ability to perform certain types of work?
Yes
No
If yes, please explain:
Please list two non-family references that we might contact:
Reference #1 Name and Phone number:
Reference #2 Name and Phone number:
In order to protect you, our students and our staff, volunteers may be required to submit to a reference/background check. Would you object to this procedure?
Yes
No
EMERGENCY CONTACT
Name:
Phone:
Relationship:
PLEASE READ AND APPROVE
I, the undersigned, hereby release and hold harmless Ave Maria University, its officers, employees, volunteers and supervisors from any and all liability for damages, mishap injury in the performance of any duties that I might perform.
I assume all risks incident thereof with respect to myself.
*
I Approve
* 4 + 3 =
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