Volunteer Action Center Application
Return to: Student Organization Services
PO Box 6444. SOW Mountainlair
Morgantown, WV 26506-6444
Personal Information
Name:
Address:
City: State: Zip:
E-Mail Address:
Phone: Best Time to Call:
Optional Personal Information
Gender: ___male ___female
Age: ___under 18 ___18-60 ___60+
Organization Information (if applicable)
If you are requesting information on behalf of an organization, please list the name of the organization.
Organization: # of volunteers:
Previous Volunteer Experience:
Hobbies and Interests:
Current Full Time Employment (if applicable)
Company:
Title:
Address:
City: State: Zip:
Phone: Best Time to Call:
Education/Training
Please list any education or training you have received (or are currently receiving). Include institution, field of study and degree.
Service Areas
Please indicate which service areas are of specific interest to you. Check all that apply:
___Assist Elderly
___HIV/AIDS
___Arts and Culture
___Community & Economic Development
___Domestic Violence & Rape
___Emergency Services & Natural Disasters
___Health & Rehabilitation
___Homeless & Hungry
___Job, Career Development, & Skills Training
___Literacy
___Mentoring
___Natural Resources, Conservation, Preservation
___At Risk Youth
___Substance Abuse