Volunteer Application

If you would like to volunteer for one of the many opportunities available through the Tippecanoe Red Cross, please fill out and submit the form below. A representative will contact you.

Fields marked with an asterisk are mandatory. Thanks!

Contact Information

Name: *

(first, middle initial, and last)

Occupation:

Home Address: *

include number, street, city, state, zip code

Home Phone: *

Business Name & Address:

Business Phone:

Preferred mailing address: *

Home

Business

Cell Phone:

Email Address: *

Driver’s License #:

Date of Birth:

Male or Female:

Veteran:

Emergency Contacts

Contact: *

Day Phone: *

Evening Phone: *

Spouse’s Name:

Interests

Please check the activities listed below that you might be interested in working with: *

Would you be willing to be trained to do any of the volunteer jobs you have listed or checked?: *

Yes

Volunteer Experience

Have you ever volunteered with another Red Cross chapter or unit?: *

Yes

If so, where and when?:

Interview Questions:

1. Why are you interested in volunteering for the American Red Cross?

2. What relevant work-related experiences do you have to bring to volunteering with the chapter? Also, skill sets or hobbies you possess?

3. How eager are you to start volunteering and how often are you available? Is your schedule flexible?

4. Have you worked in group settings before? Are you able to work well with others?

5. What do you hope to get out of the volunteering experience?

List any Red Cross training you have taken:

Please include the course title, date, and name of the instructor

List foreign language skills:

Please provide the language and whether you can read, write, and/or speak it

Other

How did you hear about the American Red Cross?:

Have you ever been convicted of a felony, or within the past 24 months, of a misdemeanor that resulted in imprisonment?: *

Yes

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What code is in the image?: *

Enter the characters shown in the image.

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