Volunteer Application

Volunteer Application

Thank you for your interest in sharing your time and energy with The Life Raft Group! Please complete the contact form below and hit submit. We will contact you as soon as we receive your completed application.

Please email volunteers@liferaftgroup.org if you have any questions.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Please include at least one phone number.
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
May we call you between the hours of 9 AM and 5 PM?
Cell Phone

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Phone

Area CodePhone Number
Current Occupation
Have you done volunteer work before?
If yes, please describe.
Why do you wish to volunteer at The Life Raft Group?
Special skills (foreign language, computer software, etc.)
Limitations / restrictions
How did you hear about the LRG?
What type of volunteer work would you like to do?
Availability

Please specify the number of hours you are available per week.
Hours available
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to a volunteer position, I understand that false and misleading information in my application or interview may result in release.
Signature
Please verify that you are human
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