Volunteer Profile

First Name
Last Name
Phone Number
Street Address
City		, NY
Zip Code
County
Email
Are you 21 or over?		Yes No
Date of Birth - if under 21 (MM/DD/YYYY)

If you are 18 or older, you must read and agree to the terms and conditions. If you are under 18, your parent or guardian must enter their name here and indicate that they agree to the terms and conditions.

Parent or Guardian (if under 18)
I agree to the terms & conditions

I am available on the following days and times...[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

Which age group do you wish to work with? [check all that apply]
Children Adults Elderly

What areas of volunteerism are you interested in? [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 list any volunteer roles not shown above you would be interested in:


Are there specific organizations that you would like to volunteer with? If yes, please list up to 5 organizations that you are interested in. Please note that if the specified organizations aren't available, we will attempt to place you with other similar organizations.


Does the location of the organization matter to you?			Yes No
If yes, please specify:


Do you have your own transportation?			Yes No
Do you have a valid NYS driver's license?			Yes No
What is your current occupation?
What is your highest level of education?

Languages spoken other than English:


Are you computer literate?			Yes No
If yes, please explain:


Do you have health-related problems or physical limitations that may affect your volunteer work?			Yes No
If yes, please explain:


Please list any skills you have that can help you as a volunteer:


What kind of skills would you like to develop as a volunteer?


Do you have previous volunteer experience?			Yes No
If yes, when and where?


Why do you wish to volunteer? [check all that apply]
Put my skills to work Learn new skills Make new friends		Help people Give something back
Other (specify):


In the event of an emergency, please notify:
Phone number:

Where did you learn about Hands On! The Hudson Valley?
If other, please specify:


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.

Site Design by Sean Donnellan