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Lighthouse Volunteer Application
Contact Information
First Name
Last Name
Phone
Email Address
Street Address
City, State ZIP
Current Employment/School
Current Employment/school name
Address
Position
Email Address
References - please list two references other than family
Name
Contact
Name
Contact
Please list any previous or current participation in other community organizations
Do you have any physical condition or disability which may limit your ability to perform any volunteer duties? Please explain
Availability - please select all that are applicable. I am available:
Sight and Sole event
Mornings (Mon-Fri)
Afternoons (Mon-Fri)
Evenings (Mon-Fri)
Weekends
Once a Week
More than once a week
One time only
As needed
Other
How do you feel that Lighthouse and/or your organization would benefit from your volunteer service?
Please select any skills and experience in the following areas
personnel, HR
grant writing
marketing, social media
IT
administration, management
Is there anything else about you that you would like to share?
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