Volunteer Application

Last Name *

First Name *

Email *

Phone *

Address 1

City

State/Province

Zip

Please list any KU MSAC staff, volunteers, 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

Name

Daytime phone

Cell phone (if different from daytime 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 am flexible - where do you need help?
I can volunteer at least 8 hours/month

I am available on these days of the week:

I am available these hours of the day:

I am a student looking to gain experience. My area of study is:

My school has a formal service program:

Yes
No

School:

School Contact Name:

I need to complete the following number of hours by the date indicated:

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

Neon CRM by Neon One

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Volunteer Application