Volunteer Online

Contact Information

Your Name (required)

Address (required)

Street

City State Zip

Home Phone (required)
- -

Work Phone (required)
- -

Web Site (if any)

Your Email (required)

Availability

During which hours are you available for volunteer assignments?
 Weekday Mornings Weekday Afternoons Weekday Evenings
 Weekend Mornings Weekend Afternoons Weekend Evenings

Interests

Tell us in which areas you are interested in volunteering – below detail your resource offered to CUE.
 Administration Events Field Work– Search Fundraising Deliveries– Pick Up
 Family Support Artwork - Design Volunteer Coordination CUE Board Member

Please list three references below. (Names & Telephone numbers)

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer
work, or through other activities, including hobbies or sports.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Person to Notify in Case of Emergency

Emergency Contact Person (required)

Emergency Contact Address (required)

Street

City State Zip

Emergency Contact Home Phone (required)
- -

Emergency Contact Work Phone (required)
- -

Emergency Contact Email (required)

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand
that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations
made by me on this application may result in my immediate dismissal.

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Signature Acceptance

It is the policy of this organization to provide equal opportunities without regard to race, color, religion,
national origin, gender, sexual preference, age, or disability.