Please use the form below to help us match you with appropriate opportunities within our organization.

*Name:
*Address:
 
*City:
*State:
*Zip Code:
*Email Address:
Phone Number:
Cell Number:
Educational Background:
Occupation:
Emergency Contact:
Emergency Phone:
How did you hear about A Woman’s Place Volunteer Program?
AWP Newsletter AWP Educational Presentation School Advisor
Police/Court/Hospital referred you to AWP Services
United Way Local Newspaper A Friend
Briefly explain why you want to volunteer at A Woman’s Place
What prompted you to volunteer at this particular time?
Have you volunteered for other non-profit organizations in the past?
Organization: Type of Volunteer Service: Dates of Service:
1.
2.
3.
4.
Would you like to do Direct Service volunteering (requiring a 40-hour training)
or CORE (Indirect Service) volunteer work (requiring a 6-hour training)?
CORE Direct Service
Why?
Do you have any language translation skills that you would like to share with AWP?
Yes No
Language:
Spoken Written
As a Direct Service Volunteer you will need to file for a child abuse check. The State of Pennsylvania requires a criminal check to be filed first. Do you have a current child abuse clearance report (less that one year old)?
Yes No
Would you be willing to file for these clearances prior to providing your volunteer service?
Yes No
 
  *Required Field
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