HTML Preview Volunteer Application Form Template page number 1.
NVFI Volunteer Application Form
Date of Application: ___________________
Applications can be submitted in three ways:
o Drop it off at our front desk at 10945 Reed Hartman Hwy, Suite 216, Cincinnati, OH 45242 .
o Fax it to 513-793-3038
o Fill out the application in word and email it to [email protected]
Name: ______________________________________________________________________________
first initial last
Address: _____________________________________________________________________________
number street Apt No., Unit No., P.O Box
_____________________________________________________________________________
City/Town Postal Code:
Are you currently employed? ______ Occupation: ____________________________
Home #: ____________________ Area of Study: __________________________
Cell #: ______________________Email: _________________________________________________
Emergency Contact Name_____________________________ Phone number__________________
Position Applying For: (Check or highlight the applicable circle)
o Administrative Support
o Physician Directory Specialist
o Grant writer
o Translator
o Social Media Researcher
o Ask the Specialist
o Photography
o Community Support Leaders
o Spokesperson
o Other____________
Number of Hours Available to Volunteer Each Week:
o 1-5
o 5-10
o 10-15
o 15-20
Please list the time frames you are available to work/volunteer.
o Monday: Start___________End___________ ○Friday Start__________End___________
o Tuesday Start___________End___________ ○Saturday Start__________End___________