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RSVP Santa Fe Volunteer Enrollment Form
version 3-25-2022
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* Indicates required question
First and Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Mailing Address (street, city, state abbr, zip code)
*
Your answer
Phone #1
*
Your answer
Phone #2
Your answer
Email
*
Your answer
I hereby acknowledge that I have received the RSVP Santa Fe Volunteer Handbook and/or have been provided access to a copy. I have read and understand the program's policies and procedures and I hereby agree to abide by them while I am an RSVP Santa Fe volunteer.
*
Yes
No
Are you a military veteran?
*
Yes
No
Race/Ethnicity
*
African American
Anglo/Caucasian
Asian American
Hispanic/Latino
Native American
Other:
Self-Identify as LGBTQI
*
Yes
No
Self-Identify as
*
Female
Male
Other:
Do you require special accommodations (such as a wheelchair ramp or assistive devise)?
*
Yes
No
Other:
Emergency Contact Name & Number
*
Your answer
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