Easter Seals Joliet Region Volunteer Signup ILJO

 

Easter Seals Joliet Volunteer Signup Application

 

Please complete all questions

 

 

Please enter your contact information below:

1. Required fields are marked with an asterisk.

If you have previously registered, please login here to prepopulate your information.

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Name:

 

 

   

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City/State/ZIP:

 

    

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Date of Birth:

 

 

 

What's this?

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Volunteers younger than 18 must provide signed authorization from their parent or guardian.

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Education and Employer Information

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If yes, list employer and position:

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Emergency First Aid Information

All information provided will be kept confidential and given only to medical personnel if necessart. please provide the names of two emergency contacts.

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Experience with Children

Have you previously worked with children? Have you ever worked with children with disabilities?

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Your Volunteer Experience

Please list any present or previous volunteer work. Also, list present/previous memberships in professional or community organizations.

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Question - Required - What type of volunteer work do you prefer?
Please make between 1 and 5 selections from the choices below.

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  We will provide documentation regarding service hours. If you have a specific form to be completed, please bring it with you.

 

Availability

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Question - Not Required - Please indicate the days you are usually available to volunteer:
Please make between 1 and 7 selections from the choices below.

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Question - Not Required - Please indicate your preferred times of availability:
Please make between 1 and 5 selections from the choices below.

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Additional Information:

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: dev@joliet.easterseals.com or call 815.725.2194.

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