Aeon Group Volunteer Application

Group Leader Contact Information

Name * First Middle Last

Group Name Affiliation *

Position

Address *

Street Address Address Line 2 City State / Province Postal / Zip Code Country

Phone * ### - ### - ####

Mobile Phone * ### - ### - ####

Email *

*

Yes, I will be volunteering on the day of the event. No, I will not be volunteering the day of the event, but I will give Aeon the name and number of another contact who will be present the day of the volunteer opportunity.

Please sign me up for the following Aeon information:

Aeon's newsletter (four times a year) Aeon's e-news (six times a year) Aeon volunteer updates (four times a year)

Does your employer match your volunteer hours with donations of money or in-kind services? *

Yes, please contact me No

Secondary Contact Information

Secondary Contact Name First Middle Last

Secondary Contact Address

Street Address Address Line 2 City State / Province Postal / Zip Code Country

Secondary Contact Phone ### - ### - ####

Secondary Contact Mobile Phone ### - ### - ####

Secondary Contact Email

Secondary Contact: Please sign me up for the following Aeon information:

Aeon's newsletters (twice a year) Aeon's e-news (six times a year) Aeon's volunteer update (four times a year)

Secondary Contact: Does your employer match your volunteer hours with donations of money or in-kind services?

Yes, please contact me No

Secondary Contact: Does your employer match your volunteer hours with donations of money or in-kind services?

Interest, Experience and Availability

How many people will be volunteering with your group? *

Are there any youth (under age 18) in your group? *

Yes No

If you will have youth volunteers, please list the number of youth, the age range of youth participants and the number of adult chaperones.

Why does your group want to volunteer with Aeon? Please describe your group's reason for volunteering and your goals for the experience. *

We give each volunteer group a brief orientation to Aeon and affordable housing (five to 30 minutes depending on questions and interest). Is there anything in particular you would like us to cover? *

Please describe the type of project your group would like to work on. *

Please list the dates, time and period of time that your group is available to volunteer. *

Do you or any member of your group have any physical limitations that would affect the type of work that your group could do at Aeon? If yes, please specify so we can work to find potential accommodations. *

How did you learn about volunteering at Aeon? *

Online Group Application

Group Leader Contact Information

Secondary Contact Information

Secondary Contact: Does your employer match your volunteer hours with donations of money or in-kind services?

Interest, Experience and Availability