Online Volunteer Application

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Please correct the field(s) marked in red below:

First Name:
 *
Last Name:
 *
Age:
 *
 Address:
 *
Address:
Contact Phone Number:
 *
Contact Phone Number:
Contact Phone Number 2:
Contact Phone Number 2:
Email Address:
 *
Areas of Volunteer Interest (select all that apply):
 *
Areas of Volunteer Interest (select all that apply):

Special Skills (ie, playing an instrument or speaking another language):

Do you have any restrictions that would prevent you from physical work (ie, cannot stand for a certain amount of time, have trouble with stairs):

Have you worked or volunteered for the City of Fairfax before? If so, in what capacity?

 *

Do you have your own form of transportation?

Do you have your own form of transportation?
Availability (select all that apply):
Availability (select all that apply):
 

 Acknowledgement:

 *
  1. To receive a copy of your submission, please fill out your email address below and submit.