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become a Volunteer/Intern
Thank you for volunteering with the AIDS Council. Please fill out the below volunteer/internship registration form and someone from the AIDS Council will contact you regarding current available opportunities. If you have any questions or require some additional information, please contact us at (518) 434-4686 Ext. 2428 or
events@aidscouncil.org
.
Today's Date*
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Name (First, Last)*
Address*
Phone Number*
Alternate Phone Number
Email
What is the best way to reach you?
Mail
Phone
Email
What is the best time of day to reach you?
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Evening
Occupation
Employer/School Attending
Have you ever served on a Board of Directors?
No
Yes
Currently Serving
Please list any language(s), other than English, in which you are fluent
Please list any knowledge and/or personal experience you have with HIV/AIDS
Why do you want to volunteer with the AIDS Council?*
Please list any hobbies, interests, or skills
Have you ever been convicted of a felony?
No
Yes
If yes, please explain
Emergency Contact Name*
Emergency Contact Phone Number*
Emergency Contact Alternate Phone Number
Availability (Please check all that apply)*
Monday - Morning
Monday - Afternoon
Monday - Evening
Tuesday - Morning
Tuesday - Afternoon
Tuesday - Evening
Wednesday - Morning
Wednesday - Afternoon
Wednesday - Evening
Thursday - Morning
Thursday - Afternoon
Thursday - Evening
Friday - Morning
Friday - Afternoon
Friday - Evening
Weekends - Morning
Weekends - Afternoon
Weekends - Evening
Can you commit to the volunteer program for a specific amount of time?
No
Yes
If yes, how long?
Contact me about short term volunteer opportunities as they arise
I can only commit to my volunteer/internship obligation
Do you have a valid driver's license?
No
Yes
Do you have access and use to a (check all that apply)
Car
Truck
Van
In which area(s) are you interested in volunteering/interning? (Please check all that apply)
Client Holiday Party/Summer Cookout
Food Pantry Pick Up
Foreign Language Translation
Holiday Sponsor Program (Adopt-a-Family)
Professional Services (i.e. counselors, legal, etc.)
In which area(s) are you interested in volunteering/interning? (Please check all that apply)
Event Auction
Help Fight AIDS Through Books & Music
Media/Marketing
Social Marketing
Special Events
In which area(s) are you interested in volunteering/interning? (Please check all that apply)
Data Entry
General Office Assistant
Receptionist
I am interested in volunteering for any position
I am interested in joining the Board of Directors as a
Board Member
Committee Member (Finance, Development, Marketing)
Personal/Professional Reference*
Reference Phone Number*
Personal/Professional Reference *
Reference Phone Number*
By checking this box, I am certifying that I have read and understood this form. I affirm that the information provided on this form is true and complete to the best of my knowledge. I understand that completion of this registration form does not imply acceptance in to the AIDS Council volunteer/intern program. If accepted, I agree to abide by all rules, policies and procedures as set forth by the AIDS Council. I also understand that there will be specific requirements to which I must adhere, including maintaining confidentiality of clients for each volunteer assignment.
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