Solidarity

First Name

Last Name

Address

Phone (Home)

Phone - Cell

Best time to contact you:

Email

Birthday

Drivers Licence Number

Expiration Date

Occupation	Employeed Self-Employeed Homemaker Retired Student Other

Please list any special skills, interests, activities, hobbies, and/or other languages spoken:

Do you have any previous volunteer experience? If yes, please explain

What degrees or certifications do you have, if any?

Why do you to become a part of Solidarity’s volunteer staff?

What will the program gain from your participation?

What do you hope to gain from participating in our programs?

Do you regularly attend a church?

If so, where?