AHTM Adult Volunteer Registration Form

  • Adult Application

    Department of Volunteer Services
  • Today's Date
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  • Are you a year-round resident?
  • If not a year-round resident, what months are you available?
  • Work Status
  • Have you ever been convicted of a felony?
  • How did you hear about our program(s)?

  • Have you been court ordered to do community service?

  • Volunteer Availability & Placement

    Please select all days and times you are available to work.
  • Volunteer services you are interested in (check all that apply):
  • Are you able to push a wheelchair?
  • Are you able to be on your feet for four hours?
  • Can you write or speak a foreign language?

  • References

    Please list two references. DO NOT include physicians or relatives.
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  • In an emergency please notify:

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  • Should be Empty: