Test Form Page About You First Name Last Name Middle Name Nickname Address City State Zip Home Ok to call Cell Ok to call Other Ok to call Email If student, please list the school you currently attend and your scheduled date of graduation. Other Information Date of Birth Age List any previous/current volunteering Are you over the age of 16? Are you over the age of 18? Volunteered previously at Insight Chicago? Currently seeking a job at Insight Chicago? Please list the types of volunteer assignments you are interested in Availability Long-term volunteers must be able to make a 6-month weekly commitment to the program. Sunday Morning Afternoon Evening Monday Morning Afternoon Evening Tuesday Morning Afternoon Evening Wednesday Morning Afternoon Evening Thursday Morning Afternoon Evening Friday Morning Afternoon Evening Saturday Morning Afternoon Evening My Availability is Ongoing Ongoing, except between these dates Only between these dates From (Date) To (Date) Email Preferences We kindly request that you please check all the boxes below to ensure that the Volunteer Services staff is able to communicate with you via email regarding your application. Thank you for your consideration. What kinds of emails would you like to receive? Announcements - Important news, upcoming events and new volunteer opportunities Tagged - This is a way the volunteer staff emails targeted information to select groups of volunteers Schedule reminders - Used to send notice of upcoming volunteer assignments Checklist reminders - Reminders of things we need you to do, usually on an annual basis, to remain an active volunteer at Insight Chicago Reference First Name Last Name Home Work Cell Relationship Aunt Brother Brother-in-law Daughter Daughter & Son-in-law Daughter-in-law Daughter-in-law's Mother Daughters Doctor Employer/Supervisor Father Fiancé Friends Girlfriend Granddaughter Grandmother Grandson Husband Mother Neighbour Nephew Niece Other Other Family Parent/Guardian Parents Significant Other Sister Sister-in-law Son Son and Daughter-in-law Son/Daugher Son-in-law Spouse Step Daughter Step son Supervisor Teacher/Advisor Wife Emergency ContactPlease provide information for someone who we may contact in case of emergency. First Name Last Name Primary Phone Secondary Phone Relationship Email I Agree I understand and agree that submitting this application form does not automatically register me as an Insight Chicago volunteer, and that there may be certain qualifications I must meet including the acceptance of established volunteer policies and procedures before I may begin volunteering. By submitting this form, I attest that the information I have provided on the form is true and accurate. I agree Send
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