Volunteer Profile Form

Southern Mutual Help Association Rural Recovery Task Force


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Name:
Volunteer group:
Address:
City:
State:
Zip:
Telephone:
Alternate phone:
Email:
Occupation:
Date of birth:
If student, parents' name:
Parents' address:
Parents' City:
Parent's State:
Parent's Zip:
Emergency Contact:
Emergency Contact Phone:
Why have you decided to volunteer in southern Louisiana with SMHA?
When are you interested in coming and for how long?
Will you need accommodations?
What do you hope to get out of your experience? Please let us know about any skills or experience you have in the following areas:   Some Experience Can direct others Explain Construction Carpentry Electrical Plumbing Bidding Houses Materials Purchasing Please let us know about any other skills, experience, talents, or interests you may have: Social work Mental health counseling Computer skills / data entry Photography / videography Writing Computer networking Public relations Ethnography Statistics Economics Business / MBA Non-profit management Grant writing / fund raising GIS mapping Law / legal aid Graphic design / visual arts Music / dance Education Conflict resolution Public policy / advocacy Health care / medical Farming / sustainable agriculture Sustainable fisheries Environmental science Other (specify): Explain any of the above:

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