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EDP#
Date
1312 Maple Street, Suite D
P.O. Box 488
Wenatchee, WA 98801
Tel : 509-662-8261
Fax : 509-663-8649
email:unitedwaycd@applecapital.net

*Please advise us if any accommodation is needed to participate in the application process.
*Note: Completion of this application gives United Way of Chelan and Douglas Counties permission to perform a criminal check as necessary.
Volunteer Profile/Application
(Please print or type)
Mr.    Mrs.    Ms.
Name :
Address :
Telephone :
Best Time to Call :
Email :
Occupation
Employer
Title/Job Title :
Hours :
Work Address :
Work Phone :
May we call you at work? Yes No
Send mail to my Home Work
Education
Grade School
High School
College
Graduate School
Other
Total Years Completed :
Degrees :
School Currently Attending :
Grade/Year :
Volunteer Experience
Organization/Title/Dates
Days and Times Available
Weekday Day
Evening
No Preference
Weekend Day
Evening
No Preference
Number of Hours Preferred
Date of Availability
Comments:
Volunteer Goals. Describe what your perfect volunteer assignment would be:
Are you a monetary donor to United Way? Yes No
Are you required to volunteer? Yes No
If so, by whom?
How did you hear about our need for volunteers?
 
I agree to allow the United Way of Chelan and Douglas Counties to research any information pretinent to my placement as a volunteer as listed on this Volunteer Profile/Application.
Please enter your initials and date the application to verify that all information submitted is accurate.

You will be required to hand-sign a paper copy of this application.
Initials
Date
Application Date
Adult Teen
Mission Statement
To be a leader in mobilizing and allocating resources to address changing community needs and to improve the quality of life for our neighbors.