Volunteer application

Name:
Address:
Phone number:
Alternate phone number:
E-mail:
When is the best time to call you?
Present occupation:
Areas of education and training:
Do you have experience with HIV/AIDS or STDs?
How did you hear about Hassle Free Clinic?
Are you prepared to make a volunteer commitment to Hassle Free for a minumum of six months?
How many hours a month are you available?
Do you prefer volunteering in the morning or the afternoon/evening?
What kind of volunteer work interests you the most?
Send Comments
Cancel
Page updated 22 March 2011    Valid XHTML 1.0  Valid CSS