Volunteer Application Form

Date*

Name*

First Last

I am interested in:*

Volunteering

I am interested in learning more about:*

Occupational Therapy
Speech-Language Therapy
Both
Undecided

Date of Birth*

MM

DD

YYYY

Phone*

Email*

Enter Email Confirm Email

University*

(Please indicate the current university you are attending. If you are not currently enrolled, please indicate either your most recently attended school or where you are planning to attend in the future.)

Major*

Year in School*

(Enter your current year in school. If you are not in school, please indicate the number of years of education you have completed.)

How did you hear about Emerge?*

Please tell us a little about yourself:*

Why are you interested in volunteering at Emerge?

Please share your availability for Winter/Spring 2020:*

Monday
Tuesday
Wednesday
Thursday
Friday

During the Winter/Spring volunteers are typically needed for groups running in the afternoon. Groups in the Winter/Spring run from 3:00-5:00 with the expectation that volunteers arrive 30 minutes prior to group start time to set up and prepare (i.e for a group that begins at 3:00, the volunteer is expected to arrive at 2:30).

Group Volunteer Application

Fill Out the Group Volunteer Application