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Easter Seals Joliet Volunteer Signup Application
Please complete all questions
Please enter your contact information below:
If you have previously registered, please
to prepopulate your information.
Street 1: Required
Phone Number: Required
Volunteers younger than 18 must provide signed authorization from their parent or guardian.
Education and Employer Information
If yes, list employer and position:
Emergency First Aid InformationAll information provided will be kept confidential and given only to medical personnel if necessart. please provide the names of two emergency contacts.
Experience with ChildrenHave you previously worked with children? Have you ever worked with children with disabilities?
Your Volunteer ExperiencePlease list any present or previous volunteer work. Also, list present/previous memberships in professional or community organizations.
Please share any pertinent information about yourself that will help us to make the best assignments for you. For more information or to make arrangements for an individual or a group, please contact Teresa Summers at: email@example.com or call 815.725.2194.
Easterseals Joliet Region212 Barney Drive, Joliet, IL 60435 | 815-725-2194Easterseals and its affiliate organizations are 501(c)(3) nonprofit organizations.
Easterseals Joliet Region212 Barney DriveJoliet, IL 60435 | 815-725-2194Easterseals and its affiliate organizationsare 501(c)(3) nonprofit organizations.