Add Volunteer Application

Contact Information   Last Name        First Name        Street Address        City        State ** Please Select ** Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico Virgin Islands       ZIP Code        Home Phone        Work Phone     Email Address   Availability   Please indicate which hours you are available. Week Day Mornings Week Day Afternoons Week Day Evenings Week End Mornings Week End Afternoons Week End Evenings Please select subcommittee, area of interest or both.   Subcommittee: Positive Youth Development Intervention/Rehabilitation Law Enforcement Education, Truancy, Dropout & Literacy Neighborhood Safety Stability   Area of interest Administration Events Field Work Fundraising Deliveries Newsletter Production Mentoring Child Development Programs Other   Special Skills or Qualifications   Special SKILLS Or Qualifications     Previous Volunteer Experience   Emergency Contact Information   Contact Name     Address     City     State ** Please Select ** Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico Virgin Islands   ZIP Code     Home Phone     Work Phone     Cell Phone     Email Address   Please Note Volunteers working with children programs will be subject to background checks and clearance. Thank you for completing this application form and for your interest in volunteering to participate in The Jacksonville Journey.