Leeds Outreach VOLUNTEER APPLICATION
Please supply the following information
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Email *
Name *
Phone number *
Preferred  method to contact you? *
In case of emergency who should we contact? (provide name and phone number) *
Do you have any health issues we should be aware of? *
Please describe any physical limitations you have. *This would include limitations in lifting weight, bending, stooping etc. *
What weight can you comfortably lift? *
How long (in hours) can you stand without needing to sit and rest? *
Can you volunteer year round or only seasonally? *
Are you volunteering to meet a community service obligation? *
How many hours per week would you prefer to volunteer? Minimum of 3 hrs/week for weekly volunteers. (No minimum required for once monthly volunteers or community service volunteers) *
Are morning or afternoon hours better for you? *
What days would you be available? * *
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What tasks could you perform? *
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What skills or experience do you have that would benefit the operations at Leeds Outreach? *
Are you a member of an organization or a church that would be interested in helping Leeds Outreach?
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If yes to above, what is their name?
How did you hear about us? *
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Is there any other information you wish to share?
Client confidentiality *
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Please enter the date you submitted this application. Thank you for applying. *
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