Preferred Dates of Arrival and Stay
Number of Individuals
Age Range of Individuals
City ST ZIP Code
Purpose of Visit
These are areas where we need assistance
Please describe your desired volunteer area:
Previous Volunteer Experience and Special Skills or Qualifications
Designate One Person to Notify in Case of Emergency For Group Members
Agreement of Group Leader
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. Thank you for completing this application form and for your interest in volunteering with us.
All volunteer applications must be approved by the Executive Director and are subject to changes.