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Adult (18+) Volunteer Application

Contact Information

First Name:
Last Name:
Nickname:
Address:
City:
State:
ZIP Code:
Home Phone:
Work Phone:
Cell Phone:
Email:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
Date of Birth:
What gender pronoun do you prefer?:
Employer Name:
Work Phone:

Emergency Contact Information

This information is confidential and will be used only in the event you require assistance. It will not act as a condition of your acceptance into the volunteer program. In the case of injury, SCRAP has limited liability insurance that covers volunteers.
Emergency Contact Name:
Relationship:
Home phone:
Work Phone:
Cell Phone:

Medical Information

Do you require any special accommodations in your work area? (If so, please describe):
Do you have any medical conditions we should know about? (If so, please describe):

Availability

Please indicate the days and times you are usually available to volunteer.
11am - 2pm
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
2:30pm - 5:30pm
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.
What kinds of email would you like to receive?
Electronic newsletters (Once a month newsletter that lets volunteers know about news and opportunities.):
Appeals for volunteer needs (Occasional e-mails for special volunteer needs at SCRAP.:
Schedule reminders (Once a month e-mail that tells you your schedule.):

Other Information

How did you hear about SCRAP?:
Why would you like to volunteer at SCRAP?:
Interests and hobbies: (What interests you? What do you like to do?):
Skills: (e.g. organizing, people skills, etc.):

Volunteer

 

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119 W Brookland Park Blvd. Richmond, VA 23222
804-525-9060

 


SCRAP is a 501(c)(3) nonprofit organization, Federal Tax ID 93-1270807.  Donations are tax deductible as allowed by law.

 

 

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