Volunteer Application

Please complete and return this application to:

AVNK Volunteer Resources

P. O. Box 175743, Covington, KY 41017-5743

 

  1. Date:______________________________________________
  2. Name:_____________________________________________
  3. City/State:_________________________ Zip:_____________
  4. Telephone:___________________________________ (home)
  5. Telephone:___________________________________ (work)
  6. Best time to reach me:________________________________
  7. Business/Employer:__________________________________
  8. Occupation:_________________________________________
  9. Times I'm available to volunteer:________________________
  10. I would rather volunteer:
    __________ short term (3-6 months)
    __________ continuing basis
    __________ special events
  11. Education:
    __________ high school
    __________ college degree
    __________ technical or other
  12. I have the following health problems/limitations:
    ________________________________________________
    ________________________________________________
    ________________________________________________
     
  13. In case of an emergency, please notify:
    Name:_____________________ Phone:_______________
    Relationship:_____________________________________
  14. What areas of AVNK volunteer work interest you?
    Committees
    AIDS Walk
    Speaker's Panel
    Newsletter
    PrideFest
    Bar Raids
    Fundraising
    Dinner/Social
    World AIDS Day
    Healing Weekends
    Transportation
    Client Services
    Membership Drive
  15. Describe a specific area you would like to explore:
    _________________________________________________
    _________________________________________________
  16. What are your skills and abilities?
    _________________________________________________
    _________________________________________________
    _________________________________________________
  17. What are your interests and hobbies?
    _________________________________________________
    _________________________________________________
    _________________________________________________
  18. Have you volunteered before? If so, where?
    _________________________________________________
    _________________________________________________
    _________________________________________________
  19. What were your duties?
    _________________________________________________
    _________________________________________________
  20. What are your expectations from volunteering?
    _________________________________________________
    _________________________________________________
    _________________________________________________

    As a volunteer for AVNK, I will work cooperatively with other members of the organization, uphold my responsibilities, maintain confidentiallity and keep my commitments.

    Signature:__________________________ Date:___________________

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Webmaster: Michael L. Connley, e-mail: mconnley@cinergy.com
Date Revised: Saturday, September 05, 1998