Volunteer Application

Name:
Address:
City, State, ZIP:
Telephone:
Fax:
Other Phone:
Date of Retirement:
Email Address:
EDUCATIONAL BACKGROUND
Academic Degree(s):
Special Education, Skills or Training:
 
EXPERIENCE BACKGROUND
Are you presently employed:
 
Yes
No
Are you retired:
Yes
No
A. MOST RECENT EMPLOYMENT
Company Name:
City/State:
Job Title:
Years of Service:
List significant functional responsibilities and duration of assignments:
 
B. PRIOR AFFILIATIONS
Company:
City/State:
Job Title:
Years of Service:
Areas of responsibility and expertise involved:
 
C. LIST THE VOLUNTEER ORGANIZATIONS YOU'VE WORKED WITH (PAST & PRESENT) AND THE SERVICES YOU PROVIDED:
 
D. LIST THE MEMBERSHIPS YOU HAVE HELD OR NOW HOLD IN PROFESSIONAL BUSINESS, TRADE ASSOCIATION AND/OR COMMUNITY ORGANIZATIONS:
 
SKILL BANK QUALIFICATIONS
Many requests for assistance from organizations fall into the functional areas listed below. Check those for which you are qualified indicating the years of experience you have acquired in each:
 
Organizational & Management Control
Strategic Business Planning
Organization Development & Restructuring
Fund Raising
Grant Proposal Writing
Management Information Systems
Purchasing/Materials Management
Marketing/Advertising
Public Relations/Publicity
Board Structure
Personnel Policies & Procedures
Financial Controls & Records
Other
List your Strongest Areas of Transferable Skills:
 
 
Colored fields indicate required information.