Application Form

Name *

First

Last

Middle Initial *

Street Address *

City/Town, State Initials Zip-code *

Phone number (primary) *

When we call you, we might say we are from AIDS Project Worcester. Please indicate if this is OK or NOT OK. *

Email *

Check appropriate box: *

I am mainly interested in periodic short-term assignments(e.g. setting up for events, making phone calls, stuffing envelopes).
I am interested in becoming a regular APW Volunteer.

Briefly describe your volunteering experience(s): *

Occupation: *

Employer *

Education/Degrees *

Do you speak any other language other than English? *

Availability: Please note the times each day that you are currently available. *

Skills and Resources: Please list below, as detailed as possible, the skills and resources you will bring to APW. *

Working With APW: Please list, in order of priority, the three programs in which you are most interested. *

see "Volunteer Opportunities at AIDS Project Worcester, Inc."

What needs of your own do you expect to fulfill as a volunteer? *

Please discuss your strengths and weaknesses. *

How did you hear about APW? *

Whom may we contact in case of an emergency (name and telephone number)? *

Is there any additional information you feel we should know? If so, please feel free to write it here.