Information • Education • Referral • Support

Volunteer Application

Date:____________

Name:_______________________________________________

Phone(h):____________________________________________

Address (Street City Zip):______________________________

____________________________________________________

Email Address:________________________________________

Employer:____________________________________________

Phone(w):___________________________________________

Occupation (If student, please indicate):_________________

Education:___________________________________________

Birthdate:______________________

How many hours per week are you available?
(please circle) 3 6 9 12 _____

Our office hours are: Monday-Tuesday 9:00 am-5:00 pm, Wednesday-Thursday 9:00 am-7:30 pm, &
Fridays 9:00 am-2:00 pm. When are you available to volunteer
(indicate days & times)?________________________________

____________________________________________________

Can you give a 6-month minimum commitment? yes____ no___

How did you hear about our volunteer program?_____________

____________________________________________________

What relevant background do you bring, either personal or
professionall, that would be useful as a Women's Center volunteer?____________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

What do you hope to learn from this volunteer experience?____

_____________________________________________________

_____________________________________________________

Please provide three references (names, addresses, phone numbers,
and email, if available):

1.____________________________________________________
_____________________________________________________

2.____________________________________________________
_____________________________________________________

3.____________________________________________________
______________________________________________________

Please put an X by the volunteer programs or positions you are
interested in:

_____Committee Member: membership, fundraising, or public
relations
_____Art Show Committee Member: help plan and coordinate
events surrounding the Center’s
annual art show and fundraiser
_____Career Programs Volunteer: facilitate career-related
workshops; help clients with job search skills. (requires training)
_____Clerical Assistant: assist a staff member with data entry,
word processing, copying, etc.
_____First Response Volunteer: act as a first contact to clients
that call or walk in the Center (requires training, at least 3 hours per week, 6 month commitment)
_____Financial Counselor: help clients with budgeting and credit
issues (requires training, long term commitment)
_____Legal Services Volunteer: must be either a law student or
an attorney who has passed the NC Bar. Work with clients on a
short-term basis regarding legal issues (requires training, 6-month commitment)
_____Short Term Project Volunteer: bulk mailings and one-time projects
_____Teens Climb High Volunteer: mentor for middle school age girls; assist in planning activities for afterschool sessions; chaperone events
_____M.A.G.I.C Volunteer: workshop facilitator; assist with
curriculum development, program evaluation, and/or marketing; web design

Thank you for your interest in volunteering!

Return applications to: The Women's Center, Attn: Danny DePuy,
P.O. Box 1057, 210 Henderson Street, Chapel Hill, NC 27514
Phone: (919) 968-4610