Volunteer

Name
First Last
Name of Parent or Guardian if Volunteer is under 18 years old

If volunteer is under 18 years, the parent of guardian must also complete a volunteer application and agreement form.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Email
Company or Volunteer Group Name
Date of Birth
MM slash DD slash YYYY
Driver's License Number
Emergency Contact
Relationship
Home Phone
Cell Phone
Type of Volunteer Work You Would Be Most Comfortable Doing
- General office & house keeping chores, errands- post office, office supplies, etc.
- Assist tutor(s) during classes, help fill out forms, instrument loan, assist during snack time
- Phone, reception, phone-banking donor campaign, filing, data entry, OJT
- Videotape classes on Mondays & Tuesdays 5:00-8:00p.m. twice a month TBA
When Are you Available to Volunteer? Please Specify AM and PM Hours
- Monday AM
- Monday PM
- Tuesday AM
- Tuesday PM
- Wednesday AM
- Wednesday PM
- Thursday AM
- Thursday PM
- Friday AM
- Friday PM
- Saturday AM
- Saturday PM
- Special Event(s) Only
Past Volunteer Experience
Organization Duties Mo./Yr. to Mo./Yr. ?
Optional-List Your Skills, Work Experiences, and Why You Want to Volunteer with Tierra
References-List one person not related to you who has knowledge of your qualification
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I need the following accommodation(s) to work as a volunteer:
I understand that I will receive no monetary benefits in return for my volunteer service and that Tierra and I may terminate this agreement at any time upon mutual agreement, for extenuating circumstances. I certify that my answers on this application are true and complete and that I have not knowingly withheld any information. I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application. I agree to an interview with the on-site manager and on-site orientation to perform my volunteer role. I hereby Release and Waive liability against Teatro de la Tierra, a non-profit arts organization, its directors, officers, instructors, and agents, its successors and assigns, for any injuries or illness that I may encounter in connection with any volunteer work for Tierra. I agree that this release is as broad and inclusive as permitted by the laws of the State of California.
Terms and Conditions*
- Agree
- Disagree
Prove You Are Human:
Name
This field is for validation purposes and should be left unchanged.

Volunteer

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Organization	Duties	Mo./Yr. to Mo./Yr. ?