Urban Triage

* Your Name

* Your Email

* Date of Birth

* Phone Number

* Home Address (including city, state and zip code)

Availability / Interest

* What volunteer role(s) are you applying for?

Administrative Support (ongoing clerical support to staff and programs)

Fundraising Support (contacting potential donors, sharing online fundraisers, etc.)

Leadership (project leads, committees)

Event Support

Program Support (childcare, registration, participant communications)

COVID-19 Emergency Response Support

Technical Support (IT, training of paid and volunteer staff, etc.)

Other

* How often are you available to volunteer?

Ongoing Weekly (1 - 3 times per week, regular assignment)

Ongoing Monthly (1 - 2 times per month, regular assignment)

Special Events/Projects (as needed, no ongoing commitment)

* When are you available to volunteer? (Check all that apply)

Weekdays (Mondays through Fridays between 8 am & 4 pm)

Weekday Evenings (Mondays through Thursdays between 4 pm & 9 pm)

Weekend Days (Saturdays/Sundays between 8 am & 4 pm)

Weekend Evenings (Fridays/Saturdays/Sundays between 4 - 9 pm)

Varies, please reach out to me as needed

Certification

* Are you volunteering to meet requirements for community service, an internship, or other certified hours?

Yes No

If you will require verification of your volunteer hours, please provide more details below.

Ie: name of organization / class who you are reporting volunteer service to, how many hours you require, and the date the verification is due.

* If your volunteer role requires a background check, will you consent to a Wisconsin Caregivers Background or public/court records background check?

Checking the boxes below indicates that you are willing to consent to if required, this DOES NOT MEAN THAT WE WILL CONDUCT ANY BACKGROUND CHECK WITH OUT FURTHER NOTICE OR PERMISSION.

Volunteer Application

Basic Details

Availability / Interest

* What volunteer role(s) are you applying for?

* How often are you available to volunteer?

* When are you available to volunteer? (Check all that apply)

Certification

* Are you volunteering to meet requirements for community service, an internship, or other certified hours?

* If your volunteer role requires a background check, will you consent to a Wisconsin Caregivers Background or public/court records background check?

* Do you feel comfortable working with Black adults and children?

Urban Triage, Inc.

Navigation

Need help now?