Volunteer Information Sheet
Today’s Date: ____________________
Name: _________________________
Birthday (mo & day): _____________
Home Phone: ______________ Cell: ______________ Fax: ______________
Work Phone: ______________ Email: _______________________________
Street Address: __________________________________________________
City, State Zip: ___________________________________________________
VOLUNTEER INTERESTS (Check all that apply)
� I am applying for the specific volunteer position of: ____________________________
� I have general volunteer interest in:
Resident Services
� Kids Only Programs
� Homework Tutor
� Adult workshops
� Seniors: Bingo, fieldtrip
� Plan a community event
Property Work:
� Painting
� Gardening
� Landscaping
� Facility Improvement
Events
� Auction
� Design/Decoration
� Fund Raising Events
� Small house parties
� Fall Breakfast
Office Help
� General Office Help
� Computers
� Phones – Answer/Make Calls
� Bulk Mailing Help
� Data Entry / Database
Other
� _________________________
� _________________________
� _________________________
� _________________________
General
� Board Membership
� Committee Service
� Grant Writing/Research
� Housing Advocacy
� Public Speaking
� Marketing
Publications
� Writing
� Layout & Design
� Proofreading
� Website Design
� I’m willing to do just about anything. Just ask.
Background Information:
1. Past Volunteer Experience(s):
a. ________________________________________
b. ________________________________________
c. ________________________________________
d. ________________________________________
2. Current Employment/Previous Employment:
a. ____________________________________________
b. ________________________________________
c. ________________________________________
3. Education:
a. ____________________________________________
b. ____________________________________________
c. ____________________________________________
4. Computer Skills (Microsoft Office, Internet, Website Design, etc.):
a. ____________________________________________
b. ____________________________________________
c. ____________________________________________
5. Trainings/Certificates (First Aid, CPR, etc.)
a. ____________________________________________
b. ____________________________________________
c. ____________________________________________
d. ____________________________________________
e. ____________________________________________
6. Languages (other than English):
a. ____________________
b. ____________________
c. ____________________
7. Are you a previous or current Imagine Housing resident?
Yes or No
8. Are you applying to be a resident at an Imagine Housing property?
Yes or No
References (please list one or two)
1. Name _______________________________
a. Email: __________________________
b. Phone:__________________________
c. Relationship: _____________________________________
2. Name _______________________________
a. Email: __________________________
b. Phone:__________________________
c. Relationship: _____________________________________
Thank you for filling out this form!
We are excited that you are interested in volunteering with Imagine Housing. Please know that all
information is held in strict confidence. Completed forms can be returned to:
Imagine Housing
10604 NE 38th PL #215
Kirkland, WA 98033
OR
E-mail: info@imaginehousing.org
Fax: 425-576-5194