Volunteer Sign Up Application

If you are eager to volunteer to help out with anything we do at the Division Midway Alliance, then please fill out this form and we will get in touch with you soon. Thank you.

Full Name

Street Address

Home Phone

Cell Phone

Email Address

Date of Birth

Your Best Skills

How would you like to help out?

Describe any previous volunteer work you have performed.

What times are you available to volunteer?

Name and Phone Number for a character reference.

Name and Phone Number for another character reference.

What is your transportation situation?
I have a license.I have a car.I use the bus.Someone drives me around.
Please indicate your cultural or ethnic identity.

Please Upload PDF Resume if you have one.

All information on this application is true to the best of my knowledge. I release, indemnify and hold harmless Division Midway Alliance, its officers, agents and employees from any and all claims, actions and demands that may arise from my actions as a volunteer. I also understand that my volunteer involvement can be terminated at the discretion of the agency at any time. I understand that if I use my personal vehicle to and from my volunteer position, that I am agreeing to keep in effect automobile liability insurance equal to or greater than the minimum required by the state of Oregon. (If volunteer is under 18 years of age, signature of parent or guardian is required.)

Insert a checkmark if you agree with the terms above? I agree.

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