Volunteer Application - Arc of Clarke County

Get Involved

Volunteer Application

First Name

First Name

Email

Phone Number

Address

City/Town

State

Zip Code

What activities are you interested in helping with?

Date of Birth

Emergency Contact Name/Relation

Emergency Contact Number

Have you ever been convicted of a felony, or of a misdemeanor that resulted in incarceration?

Yes No

If you answered yes above, please explain

Employment Status

If employed, where?

How did you hear about The Arc?

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