CURE Foundation - Best Health Corp Volunteer Form

VOLUNTEER FORM

^* indicates required field

^*NAME:

^*ADDRESS:

^*TELEPHONE:

Home:      Work:      Mobile:

^*E-MAIL:

^*Are you at least 18 years of age?
(Volunteers under 18 years require parent/guardian permission) Yes No

VOLUNTEER EXPERIENCE (give dates and description of work):

Do you speak any language other than English? If yes, please give details:

Do you have your own transportation?

Do you have Red Cross certification in CPR, first aid, ALS, PALS, etc.? Please list.

^*Do you have a valid passport? Yes No

Do you have any hobbies or special skills? If yes, please give details:

What interests you in being a volunteer with CURE Foundation?

^*AVAILABILITY:

Start Date:      End Date:

Additional information about your availability:

^*EDUCATION (highest level completed):

^*Are you currently a student? Yes No

PROFESSIONAL SKILLS/ABILITIES:

REFERENCES:

In case of emergency or illness, please notify:

^*Name:

Relationship:

^*Address:

^*City:     ^*State/Province:

^*Zip/Postal Code:     Country:

^*Please solve the following equation to verify your request:

7 + 5 =