Volunteer Information Sheet Template
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Volunteer Information Sheet

Personal Information:

  • Full Name: [Your Name]

  • Date of Birth: January 15, 1990

  • Gender (optional): Female

  • Address: 123 Maple Avenue, Springfield, IL 62701

  • Phone Number: +1 (555) 123-4567

  • Email Address: [Your Email]

  • Preferred Method of Contact: ☐ Phone ☑ Email ☐ Text

Emergency Contact Information:

  • Emergency Contact Name: John Doe

  • Relationship: Brother

  • Phone Number: +1 (555) 987-6543

Availability:

  • Days Available to Volunteer:
    ☑ Monday ☑ Tuesday ☐ Wednesday ☑ Thursday ☑ Friday ☐ Saturday ☐ Sunday

  • Preferred Time(s): 10:00 AM - 2:00 PM

  • Are you available for special events or on-call duties? ☑ Yes ☐ No

Volunteer Preferences and Skills:

  • Why would you like to volunteer with us?
    I want to contribute to my community and support efforts in environmental sustainability. I believe in the importance of giving back and would like to help in any way I can.

  • Do you have any specific skills or experience that would be helpful for your volunteer role?
    ☑ Customer Service ☑ Event Planning ☐ Administrative Support ☑ Environmental Education ☐ Other: ___________

  • Do you have experience working with (optional):
    ☑ Children ☐ Seniors ☑ Animals ☐ Disabilities ☐ Community Outreach ☐ None

Health and Safety Information:

  • Do you have any medical conditions or allergies we should be aware of?

    ☐ Yes ☑ No
    If yes, please describe: ___________________________________

  • Emergency Medical Treatment Authorization:
    In case of emergency, I authorize medical treatment if necessary.

    ☑ Yes ☐ No

Consent and Agreement:

  • Background Check Consent:
    I consent to a background check if required for this volunteer role.

    ☑ Yes ☐ No

  • Waiver of Liability:
    I agree to hold the organization harmless from any liability resulting from my participation in the volunteer program.

    ☑ Yes ☐ No

  • Photo and Media Consent:
    I consent to the use of my image/voice in photographs, videos, or media reports related to the volunteer program.

    ☑ Yes ☐ No

[Your Name]

Date: December 12, 2050

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