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Volunteer Application

Contact Information

Name :
Street Address :
City ST ZIP Code :
Birth Date


Home Phone :
Work Phone :
Email :
Availability :


During which hours are you available for volunteer assignments?
Weekday Mornings   Weekend Mornings
Weekday Afternoons   Weekend Afternoons
Weekday Evenings   Weekend Evenings





Tell us in which areas you are interested in volunteering
Office / Administration   Field work
Events Planning   Fundraising (Programs Participation)
Events Participation   Pick up & Deliveries
Newsletter , Awareness Production   NPO Marketing
Volunteer Coordination      

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.


Previous Volunteer Experience

Summarize your previous volunteer experience.


Person to Notify in Case of Emergency

Name :
Street Address :
City ST ZIP Code :
Home Phone :
Work Phone :
Email :

Agreement and Signature

You acknowledge by signing this form that Melody's N.P.O. does not provide volunteers with any type of insurance & that you are independent volunteer and solely responsible for any accident or law suit against you, while helping Melody's N.P.O., in all areas of activities.

Name (Printed) :



Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.



Verification Code :  
Contributions are tax-deductible under Internal Revenue Code Section 501(c)(3)  
Copyright 2011 | Melody's N.P.O.

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