Prospective Volunteer Questionnaire
Name: Date:
Phone:
How did you hear about the Literacy Coalition?
Why are you interested in becoming a volunteer?
What made you decide to volunteer now?
Describe other volunteer work you have done in the past five years:
Please select your education level: High School Some College College Degree
Most weeks I am available:
Monday Tuesday Wednesday Thursday Friday
The best time of the day for me is between the hours of:
9:00 am - Noon 1:00 - 3:00 pm 3:00 - 6:00 pm 6:00 - 8:00 pm
Please list 2 references:
Name: Phone:
Years known:
Relationship to you:
If you were in charge, how would you recognize our volunteers? Rate from 1 (worst) to 5 (best):
Plaque Thank you note Mug or other gift with our logo on it Personal Recognition Annual Dinner Annual Pizza Party/Games
Your Idea:
Rate your reasons for becoming a volunteer (from 1-5, as above):
Explore new career options Learn new skills for the job market Enhance résumé Network in community Make new friends
Your Reason:
Which would you prefer?
A one-time job A short-term assignment (1-3 months) A 3-6 month project A 1 year commitment More than 1 year commitment
Current Employer:
Full time Part time
What local organizations do you belong to? (We like to expand our network whenever we can)
After looking at the Volunteer Booklet, please list positions of interest:
OR will work where most needed
Please select your age group:
18-29 30-39 40-49 50-59 60-69 70+
After sending the form, you will be receiving a call from our Volunteer Coordinator within 7 days of reveiving your information.
Thank you for your interest in our organization!