Volunteer Information Card

* indicates required field

Are you a …
Student
Empty Nester
Retired
Other

What are your preferences if you choose to volunteer?
Outside events (Hop & Heritage, Polk County Fair, etc.)
Special projects (with start and end dates)
Ongoing projects (inventory, processing donations, etc.)
Working with a group
Working alone
Working on-site
Working at home
Working at other locations
Morning
Afternoon
Evening
Learning new skills
Using your own expertise

Please highlight your previous work or volunteer experience &hellip

First Name *

Last Name *

Mailing Address Line 1

Mailing Address Line 2

City

State

Zip / Postal Code

Daytime Phone *

Alternative Phone

Email *

Preferred method of contacting you is …

Best time to contact you is …
Morning
Afternoon
Evening