Personal information

* Indicates required fields

Are you at least 14 years old? * Yes No

Who should we contact in the event of an emergency?

Experience

Have you ever served as a volunteer before? * Yes No

What was the last level of education you completed? *

• Grammer School
• High School

• College
• Trade, Business or Correspondence

Which volunteer opportunity are you interested in? *

• Preschool
• After School
• Youth Options
• Mentoring Teens

• Tutoring Adults
• Technology Services
• Administration
• Holidays with Hearts Bazaar

Have you ever been convicted of anything other than a minor traffic violation? *
Yes No

Availability

How long would you like to volunteer your services? *

indefinitely hour(s) day(s) week(s) month(s) year(s)

Are you interested in receiving a Volunteer Incentive? * Yes No

I do not wish to receive Erie House newsletters, annual reports, invitations, etc.