Contact Bridges To Sudan - Jacksonville, FL

BRIDGES TO SUDAN, INC.

                                                Volunteer Application
Contact Information
Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address

Background Check
Many of the volunteer positions require a background check. Please check one:
_____ I agree to the background check.
If YES, please include your Social Security Number ____________ ________ ____________
Picture ID / License # _____________________________________________
_____ I do not agree to the background check.

Availability
During which hours are you available for volunteer assignments?
Weekday mornings
Weekday afternoons
Weekday evenings
Interests
Tell us in which areas you are interested in volunteering
Administration
Homework Helper
Clerical
Keep in touch project
Donation pickups/del’s
Other (explain)
Fundraising
Volunteer Coordination

Special Skills or Qualifications

Previous Volunteer Experience
Summarize your previous volunteer experience.
References (3)
Name
E-Mail Address
Home Phone
Work Phone
Name
E-Mail Address
Home Phone
Work Phone
Name
E-Mail Address
Home Phone
Work Phone
Person to Notify in Case of Emergency
Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address

Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Name (printed)
Signature
Date
Our Policy
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.

PLEASE FAX TO: 904-543-1775 (Please call first) OR MAIL TO ADDRESS BELOW. Thank you for your interest!

830 - 13 AIA North #108 - Jacksonville FL 32082

Bridges to Sudan is an Internal Revenue Service approved 501c3 Non-Profit Organization