Volunteer Application We thank you in advance for your interest in volunteering with Early Childhood Alliance; please complete this form to begin the application process. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work PhoneCellEmail* Date of Birth* Emergency Contact InformationEmergency Contact Name* First Last Emergency Contact Relationship*Emergency Contact Phone*Background - WorkEmployer/retired from*Date Employment Ended Occupation/duties*Background - EducationHow many years of High school completed*1234NAName of High schoolHow many years of College completed*1234NAName of CollegeHow many years of Graduate school completed1234NAName of Graduate schoolMore informationPrior volunteer experienceClick the + symbol to add more past volunteer experiences.Organization nameDutiesDates Why do you want to volunteer?*Skills*Interests or hobbies*References*Please provide three references that we may contact. (No family members, please) Click the + sign to add referencesNameTelephone (Home and Work)Relationship Volunteer Opportunities* Office Assistant: Assemble mailings, update records, photocopy or laminate materials Office Assistant: Create arts and craft items to be used with children Office Assistant: Data entry, word processing Receptionist: answer phones, greet visitors, and collate materials Messenger: deliver mail to centers and materials & equipment to various locations Public relations assistant: attend booths and distribute materials; give tours Building maintenance & yard work: minor repair, cleaning, and occasional outdoor work Group projects: assemble materials, assist with bulk mailings Other: Please describe below Check all positions that interest youPlease explain if you selected "Other" in the previous questionLocation preference* Fairfield Office Downtown Learning Center Beacon Street Learning Center at Parkview What days/times of day are you available to volunteer?*How much time do you want to volunteer?*Any other comments about yourself or your interests?By typing your name in the following field you are agreeing to the following items. Permission is granted to Early Childhood Alliance to investigate your background Permission is granted to use your picture, voice or name for publicity purposes You knowlingly and voluntarily release Early Childhood Alliance from any liability that might result from an investigation of your background and/or participation as a volunteer Name* First Last CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.