*You can either print this form out and mail it to:

 

 

 

 

Or you can e-mail this as an attachment to:

        sally.redcross@gmail.com

 

 

American Red Cross Volunteer Profile

 

Name:                                                                                                                        Date:                             .

 

Address:                                                     City:                                           State:                Zip :                 .

 

Phone (W):                                          (H)                                          (Cell)                                                    .

 

E-mail:                                                                      Date of Birth:                                                                .

 

Currently Employed?   Yes      No     .         Retired?  Yes         No          .

 

Place of Employment:                                                               Address:                                                     .

 

How did you hear of this volunteer opportunity?                                                                                    .

 

                                                                                                                                                                           .

 

Do you have any physical disability that might affect your volunteer activity?  Yes       No              .

 

Have you volunteered for Red Cross in the past?   Yes            No          .

 

Instructorships:                                                                                                                                               .

 

Red Cross volunteer opportunities you are interested in:

 

            Blood Services

            Fundraising

            Instructor:             First  Aid        CPR      Lifeguarding       Babysitting     BAT     Bloodborne

            Disaster Services

            Armed Forces Emergency Services

 

Is there any other information that we need to know?