Teen Intake

Name
First Last
Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Email
Date of Birth
MM slash DD slash YYYY
I am applying to volunteer in the following capacity [Please indicate specific area(s)]:
The Alcove Thrift Shop
The Alcove Thrift Shop: Regular hours Monday-Friday 10am-5pm, Saturday 11am-4pm. Four hour commitment is required: M-F 10am-2pm or 1pm-5pm, Saturday, flexible
Please write available day and shift below:
Special Events/Fundraising
Includes but is not limited to Sundaes on Sunday (Summer), Annual Appeal and Invitation mailings, and other events. Please give volunteer availability (Preferred day and number of hours):
Assisting with program materials and other projects
Supplementing in-office administrative work (i.e copying, creating packets, etc.); Helping prepare craft materials for Alcove bereavement group activities. Please give volunteer availability (Preferred day and number of hours):
Office Support
Data-entry, computer skills, phone management, etc. Please give volunteer availability (Preferred day and number of hours):
Please list the names and phone numbers of 2 references, not related to you.
Reference 1
First Last
Phone
Reference 2
First Last
Phone
Please list any volunteer/professional experience that you feel may be a contribution to The Alcove:
Emergency Contact Information
Name
First Last
Phone
Choice of Hospital in an emergency:
Any medical concerns/history which we should be aware of?
Please tell us how you heard about The Alcove:

Teen Intake

I am applying to volunteer in the following capacity [Please indicate specific area(s)]:

Please list the names and phone numbers of 2 references, not related to you.

Emergency Contact Information

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