Volunteer
Application

Fields In Bold Are Required

Full Name:
Address:
City:	State:	Zip:
Home Phone:
Work Phone:
Cell Phone:
Email:
Skills and Interests
Education Background:
Current Occupation:
Hobbies:

Is there a particular type of volunteer work in which you are interested? (Please Check All That Apply):
Administrative Marketing Fund Raising Events Outreach
Lil' Stars (newborn-5) Shining Stars (6-12) Teens (13-17)
Young Adults (18-25) Adults (26 +) No Preference

Availability

At what times are you interested in volunteering?
Am Flexible Weekdays Weekends Days Evenings
Do you have access to an automobile you can use for volunteer work?
Yes No Occasionally

How did you hear about us?

Security Code:

Thank you for your time and participation in completion of this form.
Down Syndrome Association of Jacksonville
Member Services
All information provided will be kept confidential & private.

About DSAJ:

Volunteer Application

Skills and Interests

Availability

Volunteer
Application