Ann's Place, Inc. · Volunteer Application

Contact Information

Name *

First Name

Last Name

Email *

If you are under the age of 14, please give your parent/guardian's email here.

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Primary Phone *

What is your birthday? *

(mm/dd/yyyy)

If under age 18, Full Name of Parent

Phone of Parent

Email of Parent

Verify Email

What are your other interests or skills? Is there anything else you want to share?

I am able to (check all that apply):

Lift about 20 pounds (small boxes)

Lift about 40 pounds (larger boxes)

Work on a computer

Work on a tablet

Use a spreadsheet

Drive and haul things for events in a truck I own

Speak Spanish

Speak Portuguese

Speak another language

If you speak another language, please let us know what that is.

I am available these days/times: *

Photo Release (Initial in box please):

I hereby grant permission, without reservation to the Ann’s Place and those authorized by the Ann’s Place to take photographs and make recordings of me, and to use them in original or modified form in all media, with or without my name or information about me, for the promotion, public education, and/or fundraising activities of Ann’s Place. I understand and agree that I am entitled to no compensation for the above. I release the Ann’s Place, its officers, directors, agencies, employees, licensees and assignees for all claims that I now or have or in the future may have, relating to the above. I agree that the Ann’s Place will be the sole owner of all tangible and intangible rights in the abovementioned photographs and recordings, with full power of disposition.