The Media Foundation - Volunteer Application

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Email *

Name (First) *

Name (Last) *

Address

City

State

Zip

Phone Number *

I am interested in volunteering for (check all that apply) *

One time events

Short-medium length projects

Regularly scheduled hours

Other:

Required

Days/times I am available

Please note, all times are approximate and flexible

Mornings (8-12)

Afternoons (12-5)

Evenings (5-8)

All day

Unavailable

Flexible/Multiple shifts

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Clear selection

I am available to start *

YYYY

Do you have reliable transportation? *

Yes

As a person of service, I am most happy when I can (check all that apply)

Work with a large group of people on one-time events

Use my specialized skills for a short or long term project (writing/design/accounting/marketing/etc.)

Have a flexible and varied set of duties over a long period of time

Complete simple, repetitive tasks in a relaxed environment

Use my outgoing personality to generate buzz and engage my community

Other:

Emergency Contact (Name) *

Emergency Contact (Phone Number) *

Emergency Contact (Relationship to you) *

Signature *

Declarations: I affirm that all statements herein are true and accurate to the best of my knowledge and my ability to answer, and I authorize The Media Foundation to check my education, employment and community service background as necessary to complete the application process.

Date Signed *

YYYY

Anything else?

Thank you for your interest! Please use the space below for any last minute thoughts, concerns, questions or information you would like to share with us. A staff member will be in touch as positions become available!

Send me a copy of my responses.

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