Volunteer Application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone*

Email*

Age Requirment*

All volunteers must be age 16 or older. By checking this box, I acknowledge that I am age 16 or older

Location*

I am interested in volunteering in the following locations:

Referred by

Previous Volunteer Experience:*

Please let us know what type of volunteer experience you have had. Including organization name, responsibilities and when.

What have you enjoyed the most about your previous volunteer work?*

What did you like least about your previous volunteer work?*

Why are you interested in volunteering for The Jason Motte Foundation?*

What knowledge and resources can you bring to The Jason Motte Foundation?*

References*

Please provide (3) three references that we can contact. Name: City/State: Phone: Email: Relationship:

Agreement*

You understand that by completing this application, you are not in anyway guaranteed a volunteer position with The Jason Motte Foundation.