Volunteer Application

Name

First Name

Last Name

Your Pronouns

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

MM

DD

YYYY

Have you volunteered with Chicago House before?

Yes

No

What types of volunteer activities interest you?

Administrative / Office Support

After School Tutoring / Children’s Program

Associate Board

HIV Screen Counselor

Mock Interviewing / Resume Reviewing

Special Events (fundraisers, etc.)

Are there any special needs or limitations we should be aware of?

Do you have any interests, training or experience you would like to use in volunteering?

i.e., computer skills, health knowledge, professional knowledge, ease in talking with strangers, etc.