VOLUNTEER FORM First Name Last Name Group or Company Name (if applicable) Your Age select your Age I am an Adult (18 years or older) I am a Youth (under 18 years old) Address City State/Province Postal/Zip Code your State or Province Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Alberta British Columbia Manitoba New Brunswick Newfoundland/Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu Federal Capital Territory Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara Alabama Alaska Arizona Arkansas Armed Forces of Europe, Middle East, Africa and Canada Armed Forces of the Americas, excluding Canada Armed Forces of the Pacific California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming none Email Daytime Phone Cellphone Please describe any special skills, abilities, work experience or limitations that will help us in assigning your volunteer duties. Instructions: (dates shown below are the dates that volunteers are needed) Step 1: Select a location where you would like to volunteer. Step 2: Select the times of day you will be available to volunteer. No Volunteer Dates Set
