Pippi's Place Volunteer Application

Please complete our volunteer application and we will process as soon as possible. The questions marked with a red asterisk are mandatory, but we ask that you try to answer all the questions if possible.

For your privacy, Pippi's Place keeps all personal information confidential and will not share your info with anyone.

Questions? Please contact us.

About You
Title for example: Mr., Mrs., Ms
First Name *
Middle Name
Last Name *
Your Age *
Email Address *
Enter at least one phone number *
Home Telephone
Mobile Telephone

Your residence
Street Address *
City *
State *
Zipcode
Employment
Work/Occupation *
Employer *

Are you volunteering as part of a school or community service? *	Yes No
Please Explain

How did you hear about volunteering with us? *
Volunteer Experience and Skills
Please tell us about your previous volunteer experience.
What special skills or qualifications can you bring to Pippi's Place?
Volunteer Interests
Which core volunteer activities interest you? * Select all that apply
Do any additional activities interest you Select all that apply
When are you generally available? * Select all that apply
Describe your interests Describe your interests in detail
References Can you provide us with two personal references?
Name and phone or email
Name and phone or email
Agreement Affirmation By submitting this application, I affirm that I am 18 years or older and that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in corrective actions or my dismissal as a Pippi's Place volunteer. I also understand that I will be required to sign an INFORMED CONSENT AND WAIVER OF LIABILITY agreement before I will be allowed to volunteer at any Pippi's Place events.
Do you accept the above affirmation agreement? *	Yes No

Pippi's Place Volunteer Application

About You

Volunteer Experience and Skills

Volunteer Interests

References

Agreement Affirmation