Your Name:

Address

Telephone

Email Address:

Are you a:
Community member      Redwoods resident      Teen

If you are a teen, please enter the name and phone number of an emergency contact:

How did you hear about volunteering at The Redwoods?
A friend      A Redwoods resident      Mailing/ad      Website      Other (below)

Other:

If you heard about volunteering from a Redwoods resident, please enter their name below:

Have you volunteered before? If so, where and when?

Please indicate your age group:
12 or under      13-20      21-40      41-60      61-80      81 or over

What is your birthdate? (Month/Day/Year)

Are you interested in volunteering on a (check all that apply):
Daily basis      Weekly basis      Monthly basis      Special events      Other (below)

Other

Days of the week you are available:
Mon      Tues      Weds      Thurs      Fri      Sat      Sun

Times of day you are available:
Morning      Afternoon      Evening

Indicate an area of volunteering at The Redwoods that interest you (check all that apply):
Social visits, walks, reading with seniors
Assisting with Parties and Events
       Friends of The Redwoods Crab Fest
       Monthly Birthday Parties
       Resident's County Fair
Field Trip Assistant
Garden
Country Store
Consignment Shop
Administration/Office
Computer Lab

Do you have any special interests, skills, or hobbies that you would like to share, such as:
Business expertise
Physical therapy
Playing a musical instrument
Dancing instruction
Art instruction
Other (below)

Other

Have you completed the Redwoods Volunteer Training?
No      Yes (if yes, please continue)

Date of Training:

Leader:

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