Stepping Stones Volunteer Form

Volunteer Information

Registration Information

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Are you over 18?*

Occupation or Student?*

In which areas would you like to volunteer?*

Are you committed to taking one shift per month for at least 12 months?*

Do you have access to reliable transportation?*

How did you hear about this volunteer opportunity?*

Why do you want to become a Stepping Stones volunteer?*

Describe any experience (life, work, educational, volunteer) you have had which helped you help others?*

Please evaluate yourself honestly on the following attributes (1=very low, 5=very high)

Empathy*

Listening Skills*

Communication Skills*

Open-minded Attitudes*

Motivation*

Relates Well to Others*

Commitment*

Punctuality*

Flexibility*

Self-Confidence*

Positive Attitude*

Desire to Help Others*

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