Volunteer Application

Information

First Name
Middle Initial
Last Name
Street Address
City
State
Zip
Day Phone
(with area code)
Evening Phone
(with area code)
Email
SAM Membership # 

 

What made you decide to volunteer at SAM?

Friend or Coworker
SAM Member Publication
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Other (please describe)

 

Experience and Skills

Highest Level of Education Completed
Current Employer
Position
Special Training
Volunteer Experience
Hobbies

 

What skills would you like to share?

Foreign Language
Language
      speak
      read
      write

 

Availability

Do you prefer to volunteer
weekly    twice monthly    special events

Day(s) of Week and Times Available
(please indicate morning/afternoon/evening)

Available Days/Times for an Interview (if different)

Preferred Positions or Shifts

Carefully review the Volunteer Position Descriptions page for positions that match your skills, interests, and time schedule.

Emergency Contact

Name
Relationship
Day Phone 
(with area code)
Evening Phone
(with area code)

 

Work Reference

Name
Relationship 
Day Phone 
(with area code)
Evening Phone
(with area code)

 

Comments / Additional Information

 


  • A criminal-history background check will be required if you are accepted as a volunteer.
  • SAM does not accept court-appointed volunteers.
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