Get Involved

Contact Information:
First Name*

Middle Name*

Last Name*

Email*

Address*

City*

State*

Zip*

Home Phone*

Work Phone

Cell Phone

Best number to call
HomeWorkCell

Emergency Contact

Employment:
Are you currently employed?
YesNo

If so, where?

Job Title

Address

Eduction:
Are you currently attending school?
YesNo

If yes, please list the name of the school and the degree you are working toward.

If you have a degree, please list below.

Volunteer Information:
How did you hear about the Katie Haumesser Foundation?

Why are you interested in becoming a volunteer?

Have you had any prior volunteer experience? If so, where and when?

Have you had any prior experience in the following areas?
Grant Writing
YesNo
When and Where?

Public Speaking
YesNo
When and Where?

Admin/Clerical
YesNo
When and Where?

Fund Raising
YesNo
When and Where?

Do you have a valid driver's license?
YesNo

Have you ever been convicted of a crime?
YesNo

Availability:
When are you able to start volunteering? (Month/Date/Year)

What is your primary availability?
Weekdays DaytimeWeekdays NightWeekends DaytimeWeekends Night

What volunteer opportunities are you interested in?
Assisting with Website MaintenanceCommunity AwarenessSpecial EventsNon-Profit Support (Admin/Clerical)Contacting Potential DonorsOther

References:
Please list three personal or professional references, including full name, telephone and email information.
Reference 1

Reference 2

Reference 3