Volunteer Application

Complete the form below to apply as a volunteer.

Your Information
Your Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Email Reminders
You will receive an email reminder before each shift. You can opt out of these emails below if desired.
- OPT ME OUT of email reminders.
Phone*
Birthday*
MM
DD
YYYY
Are you under 18?
- Yes, I am under 18
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Employer Information
Company
Your Title
Company Match
- My company matches volunteer hours with donations
Skills and Training
Area(s) you wish to volunteer*
CTRL+Click or Shift+Click to select multiple.
CPR/First Aid Training
Check if you have up-to-date CPR or first aid training.
- Yes, I am trained
Physical Limitations
Emergency Contact
Contact Name*
First Last
Contact Phone*
Contact Relationship*
How did you hear about volunteering at Town Hall?*
Name
This field is for validation purposes and should be left unchanged.

Your Information