Online Volunteer Application
RequiredRequired Question(s)
Progress: 
 
Required 1.

Your Personal Information

 


First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Your email address helps LBDA and staff of the volunteer program you will be serving in to contact you with information about your volunteer status or the status of a program you are involved with at LBDA. By entering your personal information, you consent to receive email communications from LBDA.

 

 
Required 2.

Why are you interested in volunteering?

 

Personal Interest
Educational Internship
Community Service Requirement
Court Ordered
Other  
3.

Age
Parent/legal guardian's authorization is required for volunteers under the age of 18.

 

Under 18
18-24
25-34
35-44
45-54
55+
4.

Gender

 

Male
Female
Other