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| Address: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email Address: |
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| 1. Why do you want to volunteer for VIBS? |
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| 2. Have you volunteered for another agency? If so, where and what type of volunteer work did you perform? |
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| 3. What kind of special skills or abilities can you offer to VIBS (e.g. languages spoken, computer literacy, etc...)? |
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| 4. What type of volunteer work are you interested in (e.g. structured play with clients children, general office work, special projects)? |
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| 5. When are you available? Please indicate whether you are looking for short or long term projects. |
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Do you have access to a reliable car? |
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| 7. Employment background |
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| 8. Educational background |
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| Please list a person to contact in case of emergency |
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| Please list the name(s) of anyone else you know who may be interested in volunteering |
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Please read the following statement, when you come to VIBS you will be asked to sign a printout of this form (note: all prospective volunteers must sign the pledge in order to be admitted into the program).
Victims Information Bureau of Suffolk operates from a position of respect for all of our clients, staff and volunteers regardless of: race, sexual orientation, ethnicity, religion, ability, age or gender. Any volunteer who shows intolerance to diversity will be immediately dismissed from the program. |
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