Volunteer Application

First Name:				Last Name:
Date:
Mailing Address
Address 2:
City:				State:
Zip Code:
Email:				Date of Birth:

Home Phone:				Cell:
Work:				Fax:
Occupation:				Employer:
Marital Status				Spouse's Name:

If currently in college, please provide name of institution and major:

Why do you want to pursue a volunteer opportunity with International House?

Describe three of your strengths

List your talents, hobbies, interests and abilities:

Describe any volunteer experience you have had:

Tell us about any leadership experience you have had:

Describe an event/accomplishment in your live that you found personally fulfilling:

Computer Skills: (Please check all that apply)
Word	Proficiency:		Access		Proficiency:
Excel	Proficiency:		Publisher		Proficiency:
PowerPoint	Proficiency:		Internet		Proficiency:
Pagemaker	Proficiency:

Other language(s) spoken/written:
Proficiency level(s):
Countries traveled or where you lived:

Days/hours available to volunteer at International House:
Mon.		Hours:
Tues.		Hours:
Wed.		Hours:
Thurs.		Hours:
Fri.		Hours:
Possible start date:

Please provide two personal references that have known you for three or more years. (Please do not include relatives):
Name:
Phone number:
Relationship:
Name:
Phone number:
Relationship:
Emergency Contacts:
Name:
Phone number:				Relationship:
Name:
Phone number:				Relationship: