Volunteer Form
This form is for adults and students who wish to volunteer for recurring activity. To volunteer to help for a specific event or workday please contact us at info@peerlessrockville.org or 301-762-0096. Students can earn SSL hours for some activities
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Name *
Address *
Telephone *
Email *
Age *
Skills and Interests
Educational Background
Hobbies, Interests, Skills *
Computer Skills *
Do you have any other skills which you would like to tell us about? (Photography, video recording and editing, etc.)
Previous Volunteer Experience
Physical Limitations
While not all volunteer activities require physical exertion, some do require duties such as lifting (up to 15 pounds), climbing ladders, or walking up to 1 mile. Please indicate below if any of these activities would be an issue for you.
Do you have any restrictions on physical activities? *
Do you require any special accommodations? 
Availability
Our volunteers provide much needed support for our organization. There are many capacities in which volunteers may assist ranging from an couple of hours a week to once or twice a year at special events. Please indicate your interest below. 
What type of  Volunteer Work are  you interested in? (check all that apply)  *
Required
Currently we are scheduling volunteers for the following days. (please check all that apply) *
Availability (check all that apply) *
Required
Will these hours be for Community Service or SSL? *
References 
Please provide email and phone number for two people we can contact 
Reference 1 *
Reference 2 *
How did you hear about Peerless Rockville
Release of Information
I consent to the release of all information concerning my ability and fitness to work as a volunteer. I certify the information given herein is true and correct to the best of my knowledge an understand that a false answer to any question may be grounds for discharge. 
by typing my name and the date below I consent to the above statement *
Parental Consent for applicants under 18 - by typing my name and the  date below I give my consent
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