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Diversity Partners
PH_Volunteer_App
Application for Volunteer Services
First Name
Last Name
Street Address
City
State
Zip Code
Phone
Email Address:
Past Volunteer Experience
(include organization/agency, position, supervisor phone/email)
Employment
(most recent and include company, position, supervisor phone/email)
I am interested in
Mentoring
(sharing work experiences,coaching 1/1)
Speaker/Presenter
(sharing knowledge/skills with job seekers)
Liaison
(be a diversity champion in your company)
Projects
(events/PR/fundraising/development/technical resource)
Resource Center
(provide job search assistance to clients)
What days are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
What times are you available?
Mornings (9 a.m. - Noon)
Afternoons (1 p.m. - 5 p.m.)
Education / Credentials (highest level completed)
Languages
(Fluent, Read, Write)
ASL
(American Sign Language)?
Yes
No
Hobbies, interests, skills
Do you require any accommodations?
(NO if none)
Why do you want to volunteer with Project HIRED?
How did you hear about us?
Friend/relative/Co-worker
Website
Newspaper
Event
Other media (TV/radio)
Email or other direct marketing
free forms