Volunteer Join our team Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Thank you for your interest in volunteering with our organization! Our mission is to empower adults with disabilities by providing meaningful programs, supportive services, and opportunities for personal growth and community engagement. Please complete this application in its entirety. Name *FirstLastPreferred Name:Email *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact *FirstLastRelationshipContact's Phone NumberVolunteer Interests What volunteer opportunities are you interested in? (Check all that apply.) Social and recreational activitiesArts and craftsFitness and wellness programsLife skills trainingGardening/HandymanHoliday celebrationsOtherPlease share below: (Check to Yes, AvailabilityDays Available: *MondayTuesdayWednesdayThursdayFridaySaturdaySundayPreferred Times: MorningAfternoonEveningHow many hours per week would you like to volunteer? Do you require support to complete tasks/assignments? YesNoIf yes, describe:ExperienceHave you volunteered before? YesNoIf Yes, please describe your experience.Have you previously worked with individuals with disabilities? YesNoIf Yes, please describe your experience.Skills & QualificationsLanguages Spoken:Do you have an activity in mind? If so, please describe:Special talents, hobbies, or interests you would like to share: Background Information Have you ever been convicted of a felony or misdemeanor (excluding minor traffic violations)? YesNoIf Yes, please explain: Note: A criminal conviction does not automatically disqualify an applicant. Each application is reviewed individually. Are you willing to undergo a background check if required?YesNoReferencesReference #1 Name *FirstLastReference #2 Name *FirstLastReference #1 Email *Reference # 2 Email *Referenece #1 PhoneReference #2 Phone Relationship:Relationship: Volunteer AgreementBy signing below, I certify that the information provided on this application is true and complete to the best of my knowledge. I understand that volunteer opportunities may require orientation, training, and a background check. I agree to follow all organizational policies and procedures, maintain the confidentiality of participant information, and conduct myself in a respectful and professional manner while volunteering. I understand that volunteering is voluntary and may be ended by either myself or the organization at any time. Signature Clear Signature Send Message WE ARE HERE 4014 Monroe Rd Building 4 Suite 170 Charlotte, NC 28205 CALL US Phone: 704-536-6661Fax: 704-536-0074 OFFICE HOURS Monday – Friday: 8:30 pm – 4:30 pm STAY GET CONNECTED JOIN OUR COMMUNITY AND STAY IN THE KNOW! Facebook Social-instagram-circle Social-youtube-circle Social-linkedin-circle MORE SERVICES How access our services We make it simple to connect—learn how to access our services and find the right support for your family. resource for families Discover support, services, and a caring community for families of individuals with intellectual disabilities. Our Events Stay connected with our events that bring families and communities together.
