Volunteer Application

Name*
First Last
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which address did you provide?*
- Home
- Work
Phone*
Email*
AVAILABILITY*
Please check all that apply. During which time of the day are you available for volunteer assignments?
- Morning
- Afternoon
- Evening
- Weekend
INTERESTS
- Photography
- Fundraising
- Maintenance work
- Coaching
- Marketing
- Education
- Internship
- Administration
- Childcare
- Events
- Youth Programs
SPECIAL SKILLS OR QUALIFICATIONS

Are there particular interests or talents that you would you like to share with NYREACH?
(Skills acquired from employment, previous volunteer work, or through other activities, including hobbies or sports)
PERSON TO NOTIFY INCASE OF AND EMERGENCY
Contact Person*
Relationship to you*
Phone*
OUR POLICY*
- It is the policy of NYREACH to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
AGREEMENT*
- I am not a child molester, abuser or pedophile; and have not been convicted of being a molester or abuser.
CONTENT USAGE*
- By submitting this application, I give my permission to be photographed for NYREACH promotional use. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I affirm that the facts set forth in this application are true and complete.
Thank you for completing the volunteer form and application with us.