Fields marked with * are required.

Your Contact Information
Your Name*

Street Address*

City, State, Zip*

Home Phone*

Cell Phone *

Email*

Availability*
During which hours are you available for volunteer assignments?
 Weekday mornings Weekend mornings Weekday afternoons Weekend afternoons Weekday evenings Weekend evenings

Areas of Interest*
Tell us in which areas you are interested in volunteering
 Administrative Spring Home Tour Wine Walk Fundraising Volunteer Coordination Other

How did you hear about our Foundation?*

Special Skills or Talents*
Summarize special skills, talents, or experience 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(information is for Foundation use only and will not be shared)

Name*

Street Address*

City, State, Zip*

Home Phone*

Cell Phone*

Email*

By submitting this form, I agree and understand that the work I perform for the Foundation will be provided on a voluntary basis and that I do not expect payment or other compensation for performing such work. I further understand that a volunteer position does not constitute an employee-employer relationship with the Foundation.

I hereby release the Foundation from any loss, damage or injury sustained in connection with my volunteer activities. I also understand that I may be asked to sign a release form in person before my first volunteer assignment.