The Volunteer Center for Anne Arundel County's

Volunteer Profile Form

Please take a few minutes to tell us about yourself & how you want to spend your time volunteering. Click SUBMIT when you are ready to send, or RESET to start over (these buttons are located at the bottom of this form).

 

About You

  
  Name:     Address:    
  e-mail:     City:    
  Phone:     State:    
ZIP:    
 

About Your Work

  
  Job Title:     Company:    
  Phone:     Address:    
 
  Fax:     City/State/ZIP:    
 


   Optional Fields
 
Age
 
Sex
 
Ethnicity
 
Family Income
 


These fields are used for statistical purposes only. The Volunteer Center for Anne Arundel Country does not discriminate on the basis of age, sex, race, color, religion, national origin, disability, marital status, or political affiliation.

How did you hear about the Volunteer Center for Anne Arundel County?

Co-Worker/Friend
Media
Points of Light Foundation
Organization: (please specify below)
          
Other: (please specify below)

Have you ever volunteered before?

Yes No

Are you currently volunteering?

Yes No

Please choose your Top 3 Volunteer Interests
this will not limit your volunteer opportunities!







Who would you prefer to work with?

any age
children
adolescents
adults
seniors
not with people

Other Volunteer Interests:

Types of opportunities which interest you:

Volunteer as a Group
Volunteer as a Family
One-Time Volunteer Events
On-Going Volunteering

Do you need to be on a bus line?

Yes No

Days & Times Available:

Weekday - daytime
Weekday - evenings

Weekend - daytime
Weekend - evenings

1-2 Days per Week
1-2 Days per Month
Occasionally

Geographic Areas Available:

North County
Glen Burnie, Pasadena, Severn, Hanover, Brooklyn Park, etc.

West County
Odenton, Crofton, Piney Orchards, Gambrills, Laurel, etc.

Central County
Arnold, Severna Park, Millersville, Cape St. Claire, Crownsville, etc.

South County
Edgewater, Davidsonville, Riva, etc.

Annapolis

Flexible

Would you like to use special talents or skills while volunteering

Accounting
Athletics
Barber
Computer/Tech Support
Construction
CPR Certified
Driving/Transporting
Event Planning
Graphic Design
Landscaping
Languages:(please specify below)

    
Legal
Office Support (filing, answering phones, etc.)
Performing Arts (Music, Art, Dance, Theater)
Photography/Film
Public Relations
Tutoring/Mentoring
Website Design
Other: (please specify below)
    

Please indicate if you are willing to approach your company about:

In-kind Printing/Copying
Customized Corporate Days of Service
Other In-kind Donations
Volunteer Team Projects
Volunteer Center Sponsorship

Additional Information/Comments:




Volunteer's Waiver, Assumption of Risk, & Informed Consent
 

I wish to volunteer my services to various community service organizations. I understand that the nature of the volunteer activities which are typically performed by volunteers, and which may be performed by me as a volunteer, may involve physical activities, contact with unidentified and unfamiliar persons & foreign and unidentified substances, travel to and from various unspecified locations, and other potential risks of injury. Knowing this, I still wish to volunteer and hereby assume the risk with respect to any liability of the Volunteer Center for Anne Arundel County (hereafter "VCAAC") for such risks of any accident or injury to person or property which I may sustain in connection with my participation as a volunteer or in any VCAAC-related activity. In addition, I hereby release and discharge the VCAAC and any of its directors, officers, employees, partners, affiliates, agents, and successors from any and all liability or responsibility for any such accident or injury. I agree that I will only perform volunteer activities that I am comfortable doing. Understanding that the VCAAC is an organization involved in referring potential volunteers to organizations involved with child care and other related matters, I hereby affirm that I never been convicted of a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape, or any sexual offense, nor have I ever been ordered by any court to receive psychiatric or psychological treatment in connection therewith. I grant full permission for the VCAAC to use photographs of me and quotations from me in legitimate accounts and promotions of projects.

  

Press to indicate your agreement with the Waiver above.
If you do not agree, press

 


the Volunteer Center for Anne Arundel County

...does not discriminate on the basis of age, sex, race, color, religion, national origin, disability, marital status, sexual orientation, or political affiliation. The VCAAC provides volunteer recruitment and referral services to non-profit, governmental and faith-based agencies. The VCAAC does not pre-select or guarantee placement with any agency. Potential volunteers are referred to positions based on their specific interests, skills, and availabilities, but may be required to comply with any and all regulations and requirements of the agency utilizing the volunteer's services. The VCAAC will work with volunteers to find appropriate referrals, but there may be times when none can be made. Volunteers may decline to work for any agency.

Address: 2666 Riva Rd., Suite 130, Annapolis, MD 21401

Telephone: 410-897-9207     Fax: 410-222-4589
Email: info@volunteerannearundel.org

 

formVolunteer.html rev. 10-27-09