Volunteer Full Application (Website)

First Name:

Last Name:

Pronouns:

Date of Birth:

Street:

City:

State:

Zip:

Cell Phone:

Email:

* Required

Password (for future volunteer portal access):

* Required

Emergency Contact (Name, relationship, phone and email)

Level of education completed:

Areas of interest/study:

Languages spoken/written, skills, artistic abilities:

Relevant work experience:

Does your company have a volunteer matching program?

Previous volunteer experience:

How long do you want to volunteer with Million Little?

Monday:

Specific Time Available - Monday:

Tuesday:

Specific Time Available - Tuesday:

Wednesday:

Specific Time Available - Wednesday:

Thursday:

Specific Time Available - Thursday:

Friday:

Specific Time Available - Friday:

Saturday:

Specific Time Available - Saturday:

Sunday:

Specific Time Available - Sunday:

Is there anything else you would like us to know about your availability?

Why are you interested in volunteering with Million Little?

Name:

Relationship to you:

Phone Number:

Email Address:

Name:

Relationship to you:

Phone Number:

Email Address:

I (applicant) understand the above statement and agree. I affirm that my responses are true to the best of my knowledge.

Filling out the field below will serve as your signature:

* Required

Date of volunteer agreement: * Required

I give my child permission to volunteer at Million Little.

Filling out the field below will serve as your signature:

Date of parent/guardian agreement:

Parent/Guardian Name:

Relationship to applicant:

Please leave this checkbox blank