Volunteer Inquiry Form




Thank you for your interest in volunteering with the Chautauqua County Chapter of the American Red Cross. Please complete this form and then print the form and then fax or mail it to the address at the bottom of this page.

Name:
Street:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Email:

Are you interested in youth volunteer opportunities? ChooseYesNo

Please indicate your areas of interest:
Disaster Action Team Member Teaching disaster preparedness in the community Teaching CPR and first aid Teaching water safety or swimming Teaching HIV/AIDS prevention Teaching babysitting skills to teens Local Hospital volunteering Other (please specify below)	Working as a blood drive volunteer Organizing a fund-raising activity for my school or group Helping to coordinate special events Assisting with special projects Providing clerical support Exploring youth opportunities Exploring internship opportunities Providing services to military families

Do you have special skills that you would like us to know about?

What times are you available to volunteer?

How did you learn about our home page?

Thank you for your interest in the Red Cross. Someone will be in touch with you within three business days of receiving your inquiry to set up a time to further discuss your volunteer interests.



Office of Volunteers
American Red Cross
Chautauqua County Chapter
P.O. Box 99
Jamestown, NY 14702-0099

Fax: 716-661-3711 Opdateret d. 5/7/01