| Date : |
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| General Information |
| Volunteer Name: |
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| Street: |
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| City: |
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State - Zip: |
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| Home Phone: |
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Work Phone: |
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| Cell Phone: |
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E-mail Address: |
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| In case of emergency,
please |
| contact: |
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Phone: |
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| What do you hope to gain from a volunteer experience with the ICWFD? |
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| Please specify your areas of interest. |
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Advocacy of the programs |
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Fundraising & Special Events |
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Outreach & Humane Education |
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Other |
| If you specified "Other" above, please describe : |
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| Do you have previous volunteer experience? |
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Yes |
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No |
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No Selection Made |
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| If you responded "Yes" above, list the organization(s) and describe volunteer service : |
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| Relevant Skills or Training (check all you would like to share with us) |
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Retail management/sales |
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Fundraising (grant writing, sponsorship, events) |
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Marketing |
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Computer hardware maintenance |
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Writing/editing |
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General office support (filing, copying, data entry) |
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Graphic design |
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Financial management (accounting, investments) |
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Translation |
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Public relations |
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Trainer/consultant for management |
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Teaching, training, designing educational programs |
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Website design |
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Database management |
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Law |
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Second language: Please list below |
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| Do you have any other skills or training that you would like to share with us, including knowledge of a second language. Please describe. |
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| Employment Information |
| What is your employment status? (check all that apply) |
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Employed |
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Retired |
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Not Employed |
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Student |
| Job title: |
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Employer: |
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| Employer Address: |
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Employer Phone: |
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| Does your employer offer
a donor matching gifts program? |
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Not sure |
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Yes |
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No |
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None |
| Does your employer match volunteer
hours with cash contributions to
non-profit organizations? |
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Not Sure |
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Yes |
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No |
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None |
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