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Volunteer Application Form

Name: Telephone:
Address: Best time to call:
City, State, Zip: E-mail address:
Occupation: Languages spoken:
Volunteer frequency (circle) once a week; once a month; twice a month; on call; other: Hobbies or special skills to share:
Days of week available: Time of day (circle): morning, afternoon, evenings
Desire to work with (check all that apply):

___ a family   ___ males   ___ females
___ children   ___ teens   ___ Adult Guardianship
___ behind the scenes       ___ no preference

Previous volunteer experience:
Educational background:

Please include a list of 3 references who have known you for at least one year. Provide their address, phone number, occupation, and nature of your relationship with that person.

Please print this page, complete, and send to LSG via postal mail or fax. (We regret that we are unable to accept this information electronically at this time.)

Lutheran Services of Georgia
Volunteer Coordinator
1330 West Peachtree St.
Suite 300
Atlanta, Georgia 30309

Fax: 404-875-9258