Career Services: Volunteer Registration Form for Students

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Volunteering / Community Service:
Volunteer Form for Students

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Volunteer / Community Services

Students interested in volunteering must submit a Registration Form. Please complete all requested information and select the "submit" button at the bottom of the page to complete your registration. If you have any questions, please contact Vicki Hardin at 678-839-6431 or vhardin@westga.edu

Name*
Student ID# *
Address*
City*		State*			Zip*
Home Phone*			Work Phone *
Email *

Will your Community Service be: *
	Voluntary
	Assigned for a class:	Class:		Professor:
Education Completed *
Degree: Major / Minor *

When are you available? *
	Weekdays
	Weeknights
	Weekends

How long a committment can you make as a volunteer?
	3 months
	6 months
	1 year
	Other
Please describe any previous volunteer experience *

Do you want to work with: (check all that apply)
	children
	adults
	homeless persons
	disabled persons
	adolescents
	senior citizens
	physically challenged persons
	animals

What areas of service are you interested in? (check all that apply)
	arts and crafts		swimming
	social service		tutoring
	group activities facilitator		Big Brother / Big Sister
	companion / visitor		photography
	special / weekend camps		yard work
	crisis hotline		nature / plants
	clothing / food banks		fundraising
	bilingual / ESL		shelter

**Required Fields**

"A world of opportunity for you . . . Career Web"
Department of Career Services
University of West Georgia
355 Parker Hall
Carrollton , GA 30118
678.839.6431
FAX: 678.839.6432

Career Services is a Department within the Division of Student Services.