Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status or presence of non-job-related medical condition or disability. First Name Middle Name Last Name Home/Cell Phone Work Phone Street Address City, State Zip Preferred Email Referred By Employer Job Title If you would like us to notify your employer of your service, please provide complete contact information: Special Training, Skills or Interests that could be beneficial to your volunteer service: Please list any groups, clubs, or organizations you are currently serving on: What experiences have your had that may prepare you to work with individuals with disabilities? Why do you want to volunteer? What type of volunteer work would you like to do? Please include if you have a program preference. I would like to volunteer: For a Specific Event/ProjectLongterm (i.e. multiple days or weeks What event or project would you like to work with (if you plan to only volunteer for this)? References: Please list 3 people who know you well and can attest to your character, skill and dependability. Name Relationship Phone Additional information or screening may be necessary, depending on assignment. You will be notified before beginning service. By clicking "Submit," I verify that all information provided is accurate and that I wish to volunteer for United Ability.