Volunteer Application

Thank you for your interest in volunteering at Girls Incorporated of Holyoke!Please fill out the form below and click submit. Your form will be submitted for review and you will be contacted.

Basic Information

Date: *

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Year20102011201220132014

First Name: *

Last Name: *

Email: *

Phone Number: *

Alternate Phone:

Address

Address: *

Address Line 1

Address Line 2:

City: *

State: - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code:

Country:

College or University:

Volunteer Interest & Placement (please select department): *

Administration

Youth Development

After School & Summer Programs

Volunteer Opportunities (please choose one): *

College Admissions/Awareness Presenter

Tutor

Office Support

Computer Lab Support

One-time Workshop Presenter

One-time Workshop Area of Interest:

Volunteer Requirements (for work study and undergraduate/graduate placements): *

I have no obligations to fulfill

I need to fullfill hours (please fill in information below)

Work study requirements (please fill information below)

I need to fulfill XXX of hours of volunteer service by XXX date:

I need the Girls Inc. supervisor to complete the following for my placement:

Days of Availability (please check all that apply): *

Monday

Tuesday

Wednesday

Thursday

Friday

I am availble the following hours: *

Cover Letter: *

Resume: *

References

Reference 1: *

Name of reference

Relation: *

Co-Worker

Family

Friend

Phone Number: *

Reference 2: *

Name of reference

Relation: *

Co-Worker

Family

Friend

Phone Number: *

Reference 3: *

Name of reference

Relation: *

Co-Worker

Family

Friend

Phone Number: *

Legal Statement: *

I understand and agree to the below statement

I disagree, please disregard my application.

Girls Incorporated of Holyoke reserves the right to accept or deny any applicant for volunteer placements at any time during the application process.

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