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Jeri's House Volunteer Application
Please fill out the questions if you are interested in volunteering with Jeri's house.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
E-mail Address
*
Your answer
Phone Number
*
Your answer
Video Phone
Your answer
Address Line 1
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Preferred method of contact
*
E-mail
Phone
Text
Video Phone
Birthday
*
MM
/
DD
/
YYYY
Occupation
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Relationship
*
Your answer
When can you volunteer (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Special Events ***if you choose this option you will be contacted for times***
Other:
Required
What times of day are best for you?
*
Before noon
After noon
All day
Other:
What would you prefer to help with
*
Marketing (graphic design, photography, videography, market research)
Special Events
Administration (Assisting the Executive Direction in clerical admin work and additional projects)
Pro bono SSP
Landscaping (Lawn care, flower bed, bushes, outside beautification)
Other:
American Sign Language knowledge (not required)
*
None
Beginner
Intermediate
Advanced/Fluent
Do you have experience with the DeafBlind community?
*
Yes
No
Do you have any volunteer experience? (community organizations, church, clubs, scouts, etc.)
Your answer
Special interests, hobbies, and skills
*
Your answer
Are these service hours for any of the following
School
Court Order
Club or Community organization
Other:
Clear selection
How did you hear about Jeri's House
Your answer
A background check may be required for some volunteer roles.
*
I agree that Jeri's House may run a background check on me.
I DO NOT agree that Jeri's House may run a background check on me.
Required
Send me a copy of my responses.
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