Newspaper Friend
Radio/TV
Agency
where I currently volunteer Other__________________________________Date:_________________________
Name:___________________________________________ Phone: (H)____________________
Address:_________________________________________ Phone: (O)____________________
City:__________________________State:______________ Zip:________________
Birth Date: ____/____/____ SS#_________ -_____ -__________
Contact In Emergency:______________________________ Phone:_______________________
Newspaper
Friend
Radio/TV
Agency
where I currently volunteer
Other__________________________________
Insurance Beneficiary:__________________________________________________________
Address of
Beneficiary:_________________________________________________________
_______________________________________________ Volunteer
Signature
RSVP INTEREST INVENTORY FOR NEW VOLUNTEERS
I. Skills, Interests, and Volunteer Background:
Current/Previous Occupation:______________________________________________________
Hobbies, Interests, Skills:_________________________________________________________
______________________________________________________________________________
___Yes, I am currently volunteering at:______________________________________________
______________________________________________________________________________
___Yes, I am currently volunteering at:
_____________________________________________ ,
but would be willing to volunteer at other agencies if my time
allows me to.
___No, I do not have a volunteer assignment at the present time and would like to find a place to volunteer.
II. Areas of Interest (please check all
activities that interest you)
| Community/Economic Development: | Human Needs: |
|
Fund-raising |
Outreach Services |
|
Tax Consulting |
Senior Center Activities |
|
Thrift Store |
Friendly Visitor |
| Education / Culture: |
Housing Construction |
|
Special Education |
Handyman Services |
|
Adult Literacy Tutor |
Reader |
|
Head Start |
Telephone Visitor |
|
After-School Tutor |
Public Safety: |
|
ESL |
Parent/Child Abuse/Neglect |
|
Cultural Heritage |
Crime Awareness |
|
Museum Docent |
Community Police Patrol |
|
Library Services |
Victim/Witness Assistance |
| Environment: |
Neighborhood Watch |
|
Environmental Awareness |
Caseworker/Counsel Sexual
Assault/Rape |
|
Tree Preservation |
D-FY-It Programs |
|
City Clean Up |
III. Times Available: |
| General: | Sunday
am
pm |
|
Receptionist |
Monday
am
pm |
|
Computer Input |
Tuesday
am
pm |
|
Typing |
Wednesday
am
pm |
|
Filing |
Thursday
am
pm |
|
Answering Telephone |
Friday
am
pm |
|
Preparing Mailings |
Saturday
am
pm |
|
Disaster Preparedness |
|
| Health & Nutrition: | A. Do you have access to an automobile |
|
Delivery of Health Services |
you can use for your volunteer work? |
|
Health Education |
Yes
No |
|
Delivery of Meals |
B.______ Please add my name to the list of "Minute |
|
Food Packaging |
Man" for short term/special projects volunteers. |
|
Congregate Meals |
C. Please List any physical conditions that we should |
|
Mental Retardation |
consider when arranging your assignment___________ |
|
Physical Disabilities Programs |
______________________________________ |
|
Hospice/Terminally Ill |
D. Suggestions or Comments: __________________ |
| ______________________________________ | |
| ______________________________________ |