Volunteer Information Sheet
Personal Information:
Full Name: [Your Name]
Date of Birth: January 15, 1990
Gender (optional): Female
Address: 123 Maple Avenue, Springfield, IL 62701
Phone Number: +1 (555) 123-4567
Email Address: [Your Email]
Preferred Method of Contact: ☐ Phone ☑ Email ☐ Text
Emergency Contact Information:
Availability:
Days Available to Volunteer:
☑ Monday ☑ Tuesday ☐ Wednesday ☑ Thursday ☑ Friday ☐ Saturday ☐ Sunday
Preferred Time(s): 10:00 AM - 2:00 PM
Are you available for special events or on-call duties? ☑ Yes ☐ No
Volunteer Preferences and Skills:
Why would you like to volunteer with us?
I want to contribute to my community and support efforts in environmental sustainability. I believe in the importance of giving back and would like to help in any way I can.
Do you have any specific skills or experience that would be helpful for your volunteer role?
☑ Customer Service ☑ Event Planning ☐ Administrative Support ☑ Environmental Education ☐ Other: ___________
Do you have experience working with (optional):
☑ Children ☐ Seniors ☑ Animals ☐ Disabilities ☐ Community Outreach ☐ None
Health and Safety Information:
Do you have any medical conditions or allergies we should be aware of?
☐ Yes ☑ No
If yes, please describe: ___________________________________
Emergency Medical Treatment Authorization:
In case of emergency, I authorize medical treatment if necessary.
☑ Yes ☐ No
Consent and Agreement:
Background Check Consent:
I consent to a background check if required for this volunteer role.
☑ Yes ☐ No
Waiver of Liability:
I agree to hold the organization harmless from any liability resulting from my participation in the volunteer program.
☑ Yes ☐ No
Photo and Media Consent:
I consent to the use of my image/voice in photographs, videos, or media reports related to the volunteer program.
☑ Yes ☐ No
[Your Name]
Date: December 12, 2050
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