* required information
Volunteer Application 
Volunteer Information
Name of Individual/Group:
Primary Constituent Type:*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Cell Phone:*
Email:*
Place of Employment:
If student, name of school and program:
Emergency Contact Name:*
Emergency Contact Number:*
How did you hear about the MDSC?:*
If other, please specify:
Please select your volunteer interests:*
If other volunteer interest, please specify:
Why do you want to volunteer with the MDSC?:*
Please list any experience you have working with people with Down syndrome or other relative volunteer experience:*
Please list any relevant special skills you have:*
Initials:*
Fees
$0.00 Volunteer Application
By initialing above I agree that I have read the MDSC Volunteer Guidelines and understand the terms. The MDSC reserves the right to request any additional information prior to accepting a volunteer application. A MDSC staff member will contact you within 7 days of this application being received.