Volunteer Application

The Arthritis Foundation does not discriminate with regard to race, gender, sexual orientation, age ethnic origin, religion or disabilities. All volunteer applications are subject to verification of all information, which may include a background check.

Please contact Cecilia Haywood with questions at chaywood@arthritis.org or (415) 356-1230

* required information
Registration 
Registration Information
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:*
Phone:*
Cell Phone:
Birth Date:(mm/dd/yyyy)
Company Name:
Job Title:
Does your company offer an employee match program for volunteer hours?: Yes
No
Highest Education Level:*
How did you hear about us:* AF website
AF event
Friend/Family
Newspaper
Social Media
Volunteer Match
Other
Please describe your reasons for wanting to volunteer with us:*
What special interests, skills or work experience would you like to put to use (i.e. graphic design, data entry, etc):*
Besides English, what language(s) do you speak, read or write:*
Please list any past or current volunteer work experience:*
What experience or knowledge do you have of arthritis? Training is provided so this is NOT a requirement.:*
Please describe any work limitations, disabilities or other information we need to know about you:*
Are you using this opportunity to fullfill community service or service learning hours?:* Yes
No
What day(s) are you available to volunteer:* Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Flexible
What time of day are you available to volunteer:* Mornings
Afternoons
Evenings
Flexible
Please indicate how long you intend to volunteer:* One time opportunity/Special Event(s)
On call
Short term: Less than 6 months
Long term: More than 6 months
Date available to begin volunteering:*(mm/dd/yyyy)
Of these possible volunteer activities, please check what you are interested in:* Advocacy Volunteer
Data Entry, Microsoft Office computer tasks
General Office - filing, mailings, phones, etc.
Health Fair Representative
Juvenile arthritis activities
Marketing and Communications
Program Assistant
Speakers Bureau
Special Event(Jingle Bell Run, Walks, Wine Tasting, etc)Committee Member
Day of event volunteer
Would you like to be on our Advocacy List-Serve to cut and paste e-messages to government officials regarding arthritis?: Yes
No
Would you like to join the Arthritis Foundationís email list to receive updates for volunteers:* Yes
No
How do you prefer to receive communication from the Arthritis Foundation (check any that apply)?:* Email
Phone
Emergency Contact Name and Phone Number:*
Reference #1 Name and Phone Number:*
Reference #2 Name and Phone Number:*
Reference #3 Name and Phone Number:*
There are no fees. Please hit submit below to process your application.
$0.00 Free
Free
Donation
Amount:$

By submitting this form I verify that everything stated on this application is true to the best of my knowledge.



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