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Volunteer Application

First Name *

Last Name *

Email *

Phone *

Address 1

City

State/Province

Zip

How did you hear about us? *

Please list any KU MSAC staff, volunteers, or members that you know

TELL US ABOUT YOU

Hobbies/ Interests

What inspired you to volunteer at the KU MSAC? *

Previous volunteer experience *

Special skills/ interests

What 3 adjectives describe you?

Please list any special accommodations needed to volunteer with us

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Relationship

Volunteer Interests and Availability - opportunities to interact with members are on Mondays, Wednesdays, Thursdays from 9am - 4pm. Clerical, research, organizing and special events help can be done outside of these hours and potentially remotely.

I am interested in: *

Working directly with members
Administrative tasks/special projects
Help with MSAC special events (i.e. fundraising events)
I am flexible - where do you need help?

I am available on these days of the week:

I am available these hours of the day:

Non-Family Professional Reference

Non-Family Reference Name *

Non-Family Reference phone *

Non-Family Reference email

I understand KU MSAC does not guarantee volunteer placement and that volunteer activities may or may not include interaction with members.

yes

I agree to be added to the mailing list for future volunteer opportunities.

yes

Signature (please type full name) *

Date *

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Volunteer Application