Volunteer Application

I am interested in volunteering at:

Kailua Resource Site
Haleiewa Resource Site
Wahiawa Resource Site

 

Name

Address

Home Phone Cell Phone

Date of Birth

Employer

Address

Work Phone Email

 

Emergency Contact Information

Name

Relationship

Address

Phone

Limitations related to health:

(For the protection of yourself and others, we ask that all volunteers provide
AHHA with a current TB clearance)

TB Clearance:

NO

If not, would you be able to to acqire TB clearance?

NO

If not please state why:


How did you hear a AHHA?

Newspaper Website Craig's List

Other

 

Volunteer Experience:

 

Personal or Professional References (No relatives please)

Name Phone

Years Known Relationship

Name Phone

Years Known Relationship

 

AHHA asks for a volunteer commitment of a six (6) months minimum

Will you be able to commit to this?

No Not Sure

Volunteer Availability:

Tuesday Wednesday Thursday Friday

 

Special Skills or Volunteer interest:

Office Work Research Mailings Tutoring

Computer Skills Crafts Graphic Arts

Other (Please specify)

AHHA will contact you before processing your application. AHHA is not obligated to provide a volunteer placement within this organization, nor are you obligated to accept the volunteer position offered. Opportunities for volunteers are provided without regard to Religion, Creed, Race, National Origin, Sexual Orientation, Age or Sex.

AHHA is located at 621 North King Street, Honolulu, HI 96817
Fax: 808-845-4569 Email: AHHA@hawaiihomeless.org

 

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