Crossroads Shelter • Volunteer/Intern Application
Name:
Date of Birth: ____ / _____ /_____
Address:
City: State: Zip:
Home Phone #:
Other Phone #:
Email address:
Occupation/Employer:
Interests, skills, hobbies:
Have you ever done volunteer work before? □ Yes □ No
Where?
What kind?
What kind of volunteer work would you like to do?
□ Fundraising □ Presentations □ Maintenance □ Lawn Care □ Renovations □ Special Projects
□ Other:
How much time can you give?
Weekly: _________ Monthly: __________
Available times:
Why do you wish to volunteer for Crossroads Shelter?
Where did you hear about us?
Name, address, and phone # of a personal reference:
Other information you wish to share about your talents or interests (use back of paper, if needed):
Mail to: PO Box 117 • Wytheville, VA 24382