Volunteer Center
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Volunteer Application

All fields must be filled to process application

Date: 
Are you a new client for this calendar year? Yes No
How did you hear about Volunteer Center?
First & Last Name 
Date of birth
Address 
City  
Zip code  
Home phone # 
Other phone # 
Best time to call 
E-mail address
What kind of volunteering are you interested in?
How often do you want to volunteer? (weekly, monthly, once etc.)
What days and times do you think you'll be available?
How will you get to your volunteer site?
Are you completing court-ordered community service? If yes, please elaborate: Yes No

Many organizations perform background checks. Do you have a criminal record? If yes, please elaborate:  Yes  No

Do you have health restrictions or require special accommodations to volunteer? If yes, please elaborate:  Yes  No
Please tell us about yourself. The better we know you, the better we can match you with a volunteer position.

Why do you want to volunteer?


What interests do you wish to pursue throught volunteering?


What skills do you hope to use in a volunteer position?
Anything else we should know?
Can we add you to our "On-Call Volunteer" e-mail list for urgent opportunities? Yes No
Can we add you to our e-mail list to receie our quarterly volunteer e-newsletter? Yes No
We include information about new volunteer requests, service projects, and/or service-related scholarships and awards.

Fill out this section only if you are a new client.

The Volunteer Center collects information about people using our services for funding purposes. All information is kept confidential, and your name is not connected with the following. Your responses are voluntary.
Gender:
Male
Female
Unknown
 Age:
0-6 years
7-12 years
13-17 years
18-24 years
25-54 years
55-64 years
65+ years
Unknown
 Racial/Ethnic Background:
White/Caucasian
Asian
Hispanic or Latino
American Indian/Alaska Native
Black/African American
Native Hawaiian/Pacific Islander
Other race/two or more races
Unknown
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©2008 The Volunteer Center of Marathon County
407 Grant Street, Wausau, WI 54403
PH: 715.261.6670   FAX: 715.261.6678