Name:                         

Age Group:                  15-25 26-35 36-45 46-55 56-65 65 and Over

Gender:                        Male Female

Contact                       
Address

Telephone Numbers: 

Cell Numbers:            

Email Address:           

Website  Address:      

Interested Voluntary Sector
                                       Arts and Culture                                         Education
                                      Environment                                                Faith Groups
                                      Health                                                         International Aid
                                      Social Services                                            Sports and Recreation
                                    Business/Entrepreneurial                               Other

Interested Population Group(s) to volunteer with;
                                    Adults                                                           Children
                                    Infants                                                           Youth
                                    People with mental disabilities                          People with physical disabilities
                                    People in Penal Institutions                               Other

Type of Opportunity Sought
                                     Administrative and General Assistance          Teaching/Tutoring
                                     Board/Committee work                                Sports Coaching/Leading
                                     Events Organisation and Related Assistance  Providing Consultation/Advice
                                     Fundraising                                                   Preparing Technical/Professional Service
                                     Mentoring                                                     Performing physical work/Labour
                                     Other

Have you Volunteered before? Yes No

If yes please give details in format (Where, Location Average # of Hours Per month/Year, Type of Activity)
e.g (Red Cross, Spanish Town, 20 hours per month for 5 years, Accounting Clerk)
      (YMCA, Kingston, 40 hours per month for 2 years, First Aid Trainer)

One line per volunteering experience



Time Availability     Evenings          Weekdays     Weekends

Time Preferred        9 - 12 am        12 - 4 pm       6 - 10 pm      Other

Time Commitment   Long Term       Short Term

Are you fluent in any other language other than English?  Yes No

Spanish                            French                                Other    

Do you have any preferred geographical area of work?

Rural                            Urban          Innercity     Other   

Do you have your own vehicle?     Yes No

Would you like your profile to be available on the Internet? Yes No

Is there any other information on yourself that you wish to share?