Volunteer Form

Contact Information
Name
FirstLast
Date of Birth
Email Address
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Best way to contact you
- By Email
- By phone during the day
- By phone at night
Volunteer Interests
Reason for Volunteering
- Graduation/School Requirement
- Court-Mandated
- Humanitarian
- Other
Please indicate when you are available to volunteer. Check all that apply
- Weekends
- Weekday Mornings
- Weekdays
- Weekday Evenings
- Briefly describe what you hope to gain the experience
Briefly describe what you hope to gain from the experience.
Do you have any past volunteer experience? If so, please describe the organization and your duties.
Please indicate your current or prior experience in the following categories. Your replies will be used to match you with an opportunity that meets your skills. Please check all that apply.
- Administration
- Advertising/Marketing
- Advocacy
- Budget/Finance
- Business Mgmt.
- Child Care
- Construction
- Clerical Work
- Computers
- Counseling
- Data Entry
- Evaluation
- Event Planning
- Facilities Mgmt.
- Foreign Language
- Fundraising
- Grant Writing
- Household Mgmt.
- Legal
- Lobbying
- Maintenance/Cleaning
- Newsletters
- Painting
- Personnel
- Public Relations
- Public Speaking
- Research
- Social Work
- Teaching
- Training
- Transportation
- Volunteer Mgmt.
- Volunteer Recruitment
- Other (please specify)
Other:
Please indicate which of these issues you are interested in working with. Check all that apply.
- Children
- Crisis Hotlines
- Disabilities
- Domestic Violence
- Education/Literacy
- Health
- Homelessness
- Hunger/Food
- Mental Health
- Job Training
- Peace/Anti-Violence
- Seniors
- Substance Abuse
- Sexual Assault
- Teens
- Veterans
- Other
Highest Level of Education
- High School
- Associate Degree
- Undergraduate Degree
- Graduate Degree
- Other
Employment
Current of Last Employer
Position
Telephone
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Please List two personal or professional references:
Reference Telephone
Additional Information
Please feel free to add any information that will help us to match you with a volunteer opportunity. You may attach your résumé and/or use the space below for additional comments.
Terms*
- By submitting this application, I affirm that the facts set forth in this application are accurate and complete. I understand that some volunteer opportunities will require certain documentation such as verification of a valid driver’s license and automobile insurance, criminal record check and/or child abuse clearance. I agree to comply with these requirements if I fill a position that stipulates as such.

United Way of Bucks County

Contact Information

Volunteer Interests

Employment

Additional Information

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