Volunteer Application

Thank you for your interest in becoming a volunteer with Area Congregations Together in Service. The
information you provide will be used to match your special skills with the needs of our agency. As many
of our volunteers work directly with clients, we encourage volunteers to make a six month to one year
commitment to ACTS, so that we can provide a stable, familiar environment for those who use our
services.

Name: ______________________________________________________Date:_________________

Address: __________________________________________________________________________

City: _______________________________________ State: ____________ Zip: ________________

Phone: (H) __________________ (W) __________________ (Cell) ________________________

Best time to call: ________________________

E-mail address: ________________________________ Fax number: ________________________

Emergency contract: ___________________________________ Phone: ____________________

Date of birth: _______________________

SKILLS AND INTERESTS

Education Background: ______________________________________________________________

Current Occupation: ________________________________________________________________

Hobbies, Interests, Skills: ____________________________________________________________

Previous Volunteer Experience: _______________________________________________________

Task(s) Performed: _________________________________________________________________

Professional or Civic Groups: _________________________________________________________

Other training or education: __________________________________________________________

Other information you wish to share:

Is there a particular type of volunteer work in which you are interested? (Check all that apply)

______ Working one-on-one with clients _____No preference

______ Working directly with a staff person as an assistant _____Public speaking

______ Helping in our office with general clerical duties _____Fundraising

______ Working with several clients _____Other: __________________________

______ Computer assistance

______ Doing research, teaching, or an individual project

Which type of volunteer work do you prefer?

______ Short-term special projects

______ Long-term, on-going duties

______ Other

AVAILABILITY

What days and times are you available? (Check the time slots which apply):

Monday Tuesday Wednesday Thursday Friday

Morning

Mid day

Afternoon

As Needed __________________________________________________

Signed ________________________________________ Date ______________________