Volunteer ApplicationName(Required) First Last Email(Required) Home Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone(Required)Phone format: (###) ###-####Home PhonePhone format: (###) ###-####Work Status Currently Employed Self-Employed Retired CompanyTitleIndustryHave you ever volunteered before?(Required) Yes No OrganizationFunctionHave you been fingerprinted for a position?(Required) Yes No Indicate your areas of interest (please check all that apply) Governing/Advisory Board Governing Strategic Planning Financial Management Compliance Program Services Mentoring Residents Providing Spiritual Guidance Offering Recreational Guidance Offering Professional Guidance Community Outreach Special events Fundraising Speaking Engagement Donor Relations Availability (please check all that apply) M-F Daytime M-F Evening Weekends What attracted you to Visitation House?How did you hear about us?Specific skills or areas of interest? Anything else you want to share?Thank you for your interest in Visitation House. We look forward to working with you.NameThis field is for validation purposes and should be left unchanged. REVISED 4/25/2025
