First Time PWC Volunteer Application
*
Required Fields
Contact Information
Title (Ms./ Mr./ Mrs./ Mr. and Mrs./ Mx./ Dr.)
First Name
Last Name
Address
Address 2 (apt, suite, unit, etc.)
City
State/Province
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Other
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
Home Phone
Cell Phone
Work Phone
Email
Birth Date
Gender
Female
Male
Non-Binary
Volunteer Information
Today's Date
How did you hear about us?
Why do you want to volunteer?
Do you have any physical needs
that require special arrangements?
No
Yes
If yes, please explain
Days and time available
Skills and Experience
Please check all that apply:
Clerical/Admin Support
Carpentry
Concrete/Masonry
Data Entry
Electrical
General repairs
Gutter Cleaning
Plumbing
Social Media
Yardwork and Cleanup
Other (specify below)
Additional Information
Next
PWC and its volunteers will follow the CDC’s recommended guidelines for COVID-19 safety, as well as all local public health guidance. As this guidance changes, PWC will keep volunteers updated.
Please note, these waivers and releases shall remain in effect for all PWC volunteer activities.
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