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Service Learning & Career Development

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VOLUNTEER

SLCD STAFF

Volunteer Registration

For Volunteers:

By filling out this form you are agreeing to volunteer your services for the SEEK program and understand that you are not guaranteed a project to work on. Please give us some information about yourself, and/or your group, so that we may match you up more appropriately with volunteer opportunities. Thank you for being willing to give of yourself and your time!.

If you do NOT receive a confirmation email within 2 business days, please contact us at 503-838-8432.

Volunteer information

First name: *required

Last name: *required

Mailing address

Street address: *required

City: *required

State: OR

Zip:

Contact info Phone: *required

E-mail (required): *required

SEEK info

How did you hear about SEEK?

Volunteer Info

How many people are in your group (1 for individual)

What unique skills or resources will you (and/or your group) bring to SEEK?

Please select appropriate relation to WOU:

If you chose student, what is your major?

If you chose other, what is your relation?

Volunteer Activity Interests

Please check all that interest you *at least one selection is required

Basic Home Repair

Painting

Yard Clean Up

Light House Cleaning

Product Assembly (Furniture, Bookshelves, Organizers)

Electronics (basic use/programming TV, DVD/VCR, phones)

Talking/Visiting with an older adult

Computer Training (e-mail set up, organizing, recycling)

Please list times available to volunteer

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Is there any other general information or questions You think we need to know or would like to ask, please fill them in below:

This registration is submitted via e-mail.
You will be asked to confirm your e-mail after clicking this register button; you must do so to fully submit your information.

Disclaimer: Western Oregon University and/or The Monmouth Senior Center are not responsible for property damage or for the quality of work completed by volunteers. Projects cannot put students at risk. Please do NOT submit any projects requiring permits. Thank you!

Contact

Service Learning & Career Development 503-838-8432 | or e-mail: slcd@wou.edu
WUC119 | Mon-Fri 8am-5pm