VOLUNTEER APPLICATION FORM

Today's Date
Date Format: MM slash DD slash YYYY
Name*
First Last
Phone*
Email*
Address
Street Address Address Line 2 City State ZIP Code
Age (must be 13+)*
Please enter a number from 13 to 100.
Grade level
Availability (check all that apply)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Do you have any conditions, whether medical or other, that we should be aware of?
Emergency Contact Name*
First Last
Emergency Contact Phone*
Relationship to Emergency Contact*
Relevant volunteer or employment experience
Area of Interest
Why would you like to volunteer at the IMAG?*