Full Name                                                                        

Address                                                                           

City                                                                                 

State                                                                                    

Country                                                                           

Zip                                                                                   

Phone                                                                               

Email address                                                                   

Please provide a brief list of your skills, education and/or   

experience that may be pertinent:

What are some of your interests and hobbies?                   

Your availability (ie. how many days per week? month?)   

Check the days you would be available to volunteer?        Mon.    Tues.    Wed.    Thurs.    Fri.    Sat.    Sun.

What type of service are you interested in?                       volunteer    internship

Do you have reliable transportation?                                 

When are you available to begin?                                     

**NOTE INTERNS & VOLUNTEERS: You MUST provide your own transportation! And, if you are from out of town, make sure to consider food, lodging and spending money as well!

Please note: we do not rent, sell, exchange or share any of your personal information.

  Please note that emails will be sent from keepervolunteer@hughes.net, if blocked or not allowed you may not receive a response to your inquiry. Add us to your safe list to receive volunteer updates.