Advocate Application Form | Ready2RecoverCNY

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R2RCNY Advocate Application Form

Name *

First

Last

Address

City

State

Zip Code

Email *

Phone Number

Date of Birth

Emergency Contact

Volunteer History

Volunteer Reference

Reason for volunteering

Availability

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Skill Set and Special Interests

Check all activities that you would like to volunteer for:

Host information table
Work at a fund raising event
Write letters to potential donors
Office administration work
Public presentation to charity
Solicit donations from local businesses
Organize fund raising activity
Web page development
Newsletter
Informational brochures
Other (please specify below):

Signature

I certify that my answers are true and complete to the best of my knowledge

Date

64250

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