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| Girls With Goals Is About: Community, Connecting, Coaching, e-Commerce |
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Sample Internship/Volunteer Intake Form
Center for Volunteer Development
Volunteer Intake Form
Volunteer Name:__________________________________________________________
Volunteer Address:________________________________________________________
Telephone Number(s):_____________________Volunteer e-mail:___________________
Volunteer Placement Organization_____________________________________________
Address:_________________________________________________________________
Person to Call in the Event of an Emergency:___________________Phone_____________
Doctor:________________________________ Phone_____________________________
Placement:
1. I am willing to assist with the following tasks
____ Receptionist
____ Data entry/light clerical work
____ Writing articles for newsletter, proofreading publications
____ Preparing or serving food
____ Phone calls to volunteers, clients or donors
____ Facility maintenance workdays (painting, carpentry, etc.)
____ Conducting research for development staff
____ Organizing small parties and special events
____ Hand addressing envelopes to benefit events
____ Assisting children with homework
____ Other task(s) (describe)
2. I have the following special skills to contribute:
3. I am available to help at the following dates and times:
___ Mon ___ Tues ___ Wed ___ Thurs ___ Fri ___ Sat ___ Sun
____ Mornings ____ Afternoons ____ Evenings
Any specific hours?____________________________________
Would you prefer to help occasionally?_____________________
4. Describe what you want to get from your volunteer experience:
___ Increase my skills in _________________________________
___ Meet new people; professional networking
___ Social events
___ A sense of giving something back, of contributing to a good cause
___ Interest in/education in the work the organization does
___ Association with people I admire
___ Other
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