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Application

Volunteer Application

Name  _____________________________              E-mail address _______________________

Address _________________________________    Daytime Phone # _____________________

City ________ State _______Zip Code ________    Evening Phone # _____________________

Employer ________________________________   Birth date (M/D/Y)  ____/____/____/

Best time and way to be contacted __________________________________________________

Former or current affiliation with MTO _____________________________________________

How did you hear about MTO? ____________________________________________________

Describe any limitations that would interfere/affect your volunteering: _____________________

Foreign Languages ____________________________  □ Speak     □ Read      □Write

How well? ____________________________________________________________________

What skills or experience do you want to offer to MTO? ________________________________

Emergency Information

In case of emergency, please notify:

Name______________________________________ Telephone # ________________________

Relationship ________________________________

Do you take any medication?______________________________________________________

Interests

Describe your personal interests ___________________________________________________

_____________________________________________________________________________

What do you hope to gain from volunteering at MTO ? _________________________________

When can you begin volunteering? _________________________________________________

The following are available opportunities, please check all areas that are of interest to you

□   Tenants Hotline – Monday – Friday (1 :00 p.m. – 5:00 p.m.)

□   Data Entry – Monday – Friday (1:00 p.m. – 5:00 p.m.)

□   Call Backs – Monday – Friday (1:00 p.m. – 5:00 p.m.)

Other

□ Fundraising           □ Clerical      □ Special Events

Times and dates available for volunteering

Are you willing to make a commitment to volunteer for 6 (six) hours per month for preferably 6 (six) months?

□ Yes

□ No

__________________________________                _____________________

Volunteer Signature                                                        Date