Volunteer Opportunities with Northland Neighborhoods

Please complete the following information. You must check the "Agreement and Cerfification" box near the bottom of the form before it can be submitted. Checking that box constitutes your signature on this electronic form.

You must also complete and sign a "Volunteer Waiver" form before you will be allowed to undertake any volunteer activities for Northland Neighborhoods, Inc. If you are 18 years of age or older, you may fill out and submit this Volunteer Waiver online.

Contact Information:

Your Name:
Your Email:
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:

Availability:

During which hours are you available for volunteer assignments?
(you may select more than one)

Weekday Mornings Weekend Mornings
Weekday Afternoons Weekend Afternoons
Weekday Evenings Weekend Evenings

Interests:

Tell us which areas you are interested in volunteering
(you may select more than one).

Administration Event Planning Plumbing
Air Conditioning Foundation Ramps
Carpentry Fundraising Roofing
Computer Skills Furnace Yard Work
Concrete Gardening   Other (list below)
Dry Wall Gutters
Electrical Mentoring
Events Painting

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:

Tell us which areas you are interested in volunteering (you may select more than one).

Contact Name:
Contact Email:
Street Address:
City:
State:
Zip:
Home Phone:
  Work:
Cell:

Limitations

Please let us know about any limitations (e.g., cannot lift heavy boxes) that might affect the type and nature of volunteer activities you can perform.

Agreement and Certification:

The following box MUST be checked before you can submit this application. By checking the box you are, in effect, signing this application.

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

NOTE: you will be required to sign a Volunteer Waiver form. You may also complete and submit this Volunteer Waiver form online.

Northland Neighborhoods, Inc. Policy:

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