Intern/Volunteer Personal Information:

Intern/Volunteer Education Qualification and Identity:

Internship/Volunteer Service Information:

Person to Notify in Case of Emergency:

Agreement and Signature:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a Intern/volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Our Organization appreciates your interest in working with us, we are looking forward to your service for the betterment of our Community and its posterity. However, the organization will not be held responsible for anything that happens to you while offering your Internship/Volunteer services to it:

Please read the Volunteer Policy and Handbook Carefully.