Home
Victim Services
Victim Tribute
Pictures
Calendar
Volunteer
Application
Bulletin Board
Legislation
IID Information
BUI
Sponsors
MADD Chairpersons
Victim Impact Panel
MADD Shasta County
530-347-1365
PO Box 372
Anderson CA 96007
madd@maddshastacounty.org
MADD Volunteer Application
All fields marked with an * are required.
Your Name:
*
Phone (H):
*
Phone (W):
Address:
*
City, State, Zip
*
Email Address:
*
Educational Background:
*
Current Occupation:
*
Hobbies, Interests, Skills:
*
Previous Volunteer Expierence:
*
Is there a particular type of volunteer work you are interested in? (Check all that apply)
One-on-one With a Single Person
Fundraising
General Office Assistance
Public Speaking / Training / Writing
No Preference
Other
Is there a particular group with whom you are interested in working with? (Check all that apply)
Youth
Teens
Adults
Seniors
Staff
Male
Female
Victim
No Preference
Other
At what times are you interested in volunterring? (Check all that apply)
Weekdays
Weekends
Days
Evenings
Flexible
Special Events
Do you have an automobile you can use for volunteer work?
Yes
No
How did you hear about us?
Advertisement
Looked for us
From a friend
Internet
Please list two names and numbers of someone we may contact as a personal reference:
*
