Executive Service Corps of Broward County: Volunteer Form

Name

Education

Current Occupation

Former Occupation

Previous Volunteer Experience

Please Check Your Top 3 Skills/Interests For Volunteer Assignments:

Animal Care	Marketing and Sales
Arts & Crafts	Mail Preparation
Artists, Illustration, Drawing	Medical Professional
Beautician	Mentor for Youth
Bookkeeper	Nurses Aides (clinics, hospitals)
Carpenter	Nursing Homes
Clerical	Friendly Visitor (shut-ins)
Computer Programmer	Office Manager
Counselor Aide	Photographer
Data Entry	Public Relations
Entertainer-Vocal/Instrumental	Receptionist
Financial Assistant	Recreation Activities
Fund Raiser	Seamstress/Knitting
Gardener	Shopping Assistant
Handicapped Program Aide	Substance Abuse
Handyman	Teachers Aide
Hospice Aide	Telephone Assurance
Homeless Shelter Aide	Theater/Museum
Insurance Advisor	Thrift Shop Worker
Journalist	Tour Guide
Law Enforcement Assistant	Tutor - Subject
Lecturer/Public Speaker	Typist
Legal Assistant	Volunteer Coordinator
Library Assistant	Other

Please select the age group you are most interested in:


I am also willing to be an on call volunteer, check one or more that interests you
Disaster Relief Volunteer
Special Event Volunteer
Interpreter, English

If you have a disability that requires special accommodations please explain

Senior Volunteer Services
4701 N.W. 33 Ave.
Fort Lauderdale, FL 33309-6807
(954) 484-7117