Printable Volunteer Application Oregon Black Pioneers

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Oregon Black Pioneers Volunteer Application

NAME: ________________________________________  DATE: ____________

ADDRESS: ____________________________________________________________________________

CITY: _______________________________ STATE: ____________________ ZIP CODE:  ____________

HOME PHONE _______________________ WORK: ___________________ CELL: __________________

Have you been convicted of a felony within the past five years?  _______YES   ______NO

If yes, please explain: _____________________________________________________________________

____________________________________________________________________________________
Would you submit to a background check? _________YES   __________N0

Are you a student: ____YES   ____ NO               What school do you attend? ___________________________

What Grade or year are you in? _____  Have you done volunteer work at another nonprofit? ___YES  ___NO

If yes, where and what did you do? ___________________________________________________

What type of work would you like to do here?  ____ Computer   ____ Exhibits    ____ Floaters    ____ Greeter   ____ Office Clerical   ____ Receptionist    ____Research    ____Speakers Bureau    ____Volunteer Coordinator

List any hobbies or interests: _____________________________________________________________

What skills, training or knowledge do you wish to utilize here? ____________________________________

Why do you want to volunteer with ONBP? _________________________________________________

__________________________________________________________________________________

Are you available to volunteer between the hours of ___8:00 a.m. – 1 p.m.   ___ 1 p.m.  – 6:00 p.m.  or later.

During which day of the week:   (___)Monday  (___)Tuesday   (___)Wednesday  (___)Thursday  (___)Friday   (___)Saturday  (___)Sunday

If you have a disability, what accommodations would you require to do this volunteer position?   ____________
____________________________________________________________________________________

What training resources or support do you anticipate needing to do this volunteer work?  _________________

____________________________________________________________________________________

NOTICE:  All applications will be reviewed.  Additional information will be requested in writing for applicants accepted for further review.  Print and return to: Oregon Black Pioneers Corporation, 117 Commercial St. NE, Salem, OR 97301 or email info@oregonblackpioneers.org   THANK YOU FOR SUBMITTING YOUR APPLICATION FOR REVIEW