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Women’s Center of Wake County, Inc.
Volunteer/Internship
Application
Date:
Social Security #
/ /___________
/ / / ________
Name:(Last)
(First)
( MI)
Date of Birth (month/day)
/
/____________/________
Address:
(Street # and name)
(City)
(County)
(Zip)
Telephone: (Day)_________________ (Evening)_____________________
(Cell)______________________
(Email)
/
/_____________
Place
of Employment/School
Address
Telephone #
/
/______________________________
Position/Area
of Study/Major
Supervisor/Advisor Last Dates of
attendance
Indicate the highest level of education you have completed:
_______________________________
What
was/is your primary field of study in college?
_______________________________________________________
Any
additional degrees or credentials?
_______________________________________________________________
Briefly list previous job and/or volunteer experience:___________________________________________________________
_____________________________________________________________________________________________________
If
you regularly attend religious worship, where do you attend?
Many places of worship ask us if they have members that volunteer with
us when they are considering making contributions to our agency
/ /________________________
Name
of religious entity
Address
Pastor/Rector/Priest/Rabbi/Imam,
etc.
/
/ ________________________
Emergency
Contact:
Name
Telephone #
Relationship to you
Why are you interested in volunteering with us? _________________________________________________________________
_________________________________________________________________________________________________________
Please
check areas of interest: (Contact the agency
at 829-3711
for more details )
_____
Abbeygail’s
Closet: Assist with duties (sorting & display preparation) at our
off-site location
Acquisitions Service: Assist
with acquiring needed supplies for clients and operations
_____
Clothes Boutique Assistant: Help
with preparing and/or distributing clothes for clients’ boutique
Community
Service: Please circle one:
Court referred School/ Requirement
_____
Housing Advocacy Assistant: Data
entry, filing, client follow-up; housing resource development
Lunch
Service: Providing and/or serving lunch for clients
MAH:
On-call
brawn and/or trucks for moving and/or hauling furniture, appliances and
equipment
_____
Legal Services (Practicing
Attorneys Only): Hotline on
Domestic Legal Issues
Special Services: Yard work,
house maintenance, minor electrical, etc. at housing units
Will your volunteer time be counted as an Academic
Internship position?
YES
NO
If
yes, number of required hours Area
of study
The
Women’s Center’s hours of operation are Monday - Friday, 9:30 a.m. -
4:30 p.m.
q
The Transitional Services Program operates 9:30 a.m. - 4:30 p.m.
q
The Reception Area operates from 10:00 a.m. - 4:30 p.m.
q
The days and times of special projects and other activities vary.
q
Return this form to:
Women’s
Center of Wake County, Inc.
Attention: Volunteer
Coordinator
128 E. Hargett St., Suite
10
Raleigh, NC 27601
VolAppJan
2006
© 2006 The Women's Center of Wake County. |