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 school backpacks. We are also in great need of twin beds (frames, mattresses and box springs), and kitchen chairs. We are also in great need of pots and pans and toiletries. Please contact Gaby Salazar at 479-9180 ext. 15, gsalazar@kyrm.org, if you have such items to donate.