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Volunteer Application

Thank you for your interest in becoming a volunteer at Plugged In!

Volunteers are vital to the success of our mission of creating an inclusive, loving, and diverse community empowered to change the world, educating musicians in a non-competitive environment, and providing band and individual performance opportunities in support of community and charitable causes.

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone *

Date of Birth *

(mm/dd/yyyy)

Other

Experience

Past Volunteer Experience *

Include organization/agency and position

Employment (most recent and include company and position) *

Include organization/agency and position

Please list relevant special interests, computer skills, talents, hobbies and areas of expertise. *

Why are you interested in volunteering at Plugged In? *

Please note approximate day(s) and time(s) you are available to volunteer. *

How long are you committing to volunteer? *

i.e. less than 6 months, 6 months, 1 year, indefinitely

How many hours per week are you available to volunteer? *

References

Please list three references.

Reference 1 Name *

First Name

Last Name

Reference 1 Phone *

Reference 1 Email *

Verify Email *

Reference 1 relationship to volunteer *

Reference 2 Name *

First Name

Last Name

Reference 2 Phone *

Reference 2 Email *

Verify Email *

Reference 2 relationship to volunteer *

Reference 3 Name *

First Name

Last Name

Reference 3 Phone *

Reference 3 Email *

Verify Email *

Reference 3 relationship to volunteer *

Emergency Contact

Please list one contact that we can keep on file in case of emergency.

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

Emergency Contact Email *

Verify Email *

Relationship to volunteer *