| Organization's Name |
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| Contact First Name |
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| Contact Last Name |
|
| Title |
|
| Phone Number |
|
| Fax Number |
|
| Street Address |
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| City |
, NY |
| Zip Code |
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| County |
|
| Email |
|
| Web Site |
http://
|
|
I agree to the terms & conditions. |
| |
| Mission Statement: |
|
| |
| Volunteers needed...[check
all that apply] |
|
No preference |
| Monday: |
Morning |
Afternoon |
Evening |
| Tuesday: |
Morning |
Afternoon |
Evening |
| Wednesday: |
Morning |
Afternoon |
Evening |
| Thursday: |
Morning |
Afternoon |
Evening |
| Friday: |
Morning |
Afternoon |
Evening |
| Saturday: |
Morning |
Afternoon |
Evening |
| Sunday: |
Morning |
Afternoon |
Evening |
| |
| Age group(s) your volunteers will be working
with...[check all that apply] |
|
Children
Adults
Elderly
|
| |
| Volunteer role(s) that are needed in your agency... [check all that apply] |
Support |
| Animal care |
| Child Care |
| Classroom aide |
| Companionship |
| Counseling |
| Direct care to patients |
| Helping at risk population |
| Helping individuals with disabilities |
| Helping individuals with health problems |
| Helping youth at risk |
Professional |
| Bookkeeping |
| Clerical / office work |
| Computer / data entry |
| Construction / renovation |
| Cooking |
| Fire fighting |
| Library support |
| Perform (singing, dancing, etc.) |
| Phone work |
| Tutoring / teaching |
| Religious services |
Program |
| Event assistant |
| Exhibit host |
| Fundraising |
| Grant writing |
| Marketing / publicity |
| Organize events |
| Public presentations |
| Public relations |
| Research |
Driving |
| Ambulance work |
| Grocery shopping for disabled / ill individuals |
| Meal delivery |
| Transporting individuals with disabilities to appointments, errands, etc. |
Policy |
| Advocacy |
| Board member |
| Committees |
Other |
| Crafts |
| Gardening |
| Handyman / maintenance |
| Theater production |
| Thrift shop |
| Ushers |
| |
| Please describe (in 50 words or less) the volunteer
needs of your organization: |
|
|
| |
| Do the volunteers need their own transportation? |
|
| Do the volunteers need a valid NYS driver's
license? |
|
| What is the minimum age requirement for your
volunteers? (leave blank if none) |
|
| |
| Do they need to speak another language other
than English? |
|
| If yes, please explain: |
|
|
| |
| Do the volunteers need to be computer literate? |
|
| If yes, please explain: |
|
|
| |
| Would health-related problems or physical limitations
affect their volunteer work? |
|
| If yes, please explain: |
|
|
| |
| What kind of skills do you require from your
volunteers? |
|
| |
| What kind of skills could you develop in your
volunteers? |
|
|
| |
| Will training be provided? |
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| If yes, by whom? |
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| Will supervision be provided? |
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| If yes, by whom? |
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| |
| Where did you learn about Hands On! The Hudson Valley? |
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| If other, please specify: |
|
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| |
|
Please choose a user name and password.
|
| User Name |
|
| Password |
|
|
Please type your password again |
|
| Please type a question that we can ask to confirm your identity if you lose your password. Some example questions are "What was my first dog's name?" or "What town was I born in?". |
|
| |
| Please provide the answer to the question you entered above. |
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| |
