Volunteering

Applications

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Ann Arbor Volunteers

Optionally, you can download this form, fill it out and mail it to:

Ele’s Place, 355 S. Zeeb Rd., Suite E, Ann Arbor, MI 48103 or fax (734) 926-0985
Name (First & Last)*
Email Address*
Street Address*
City*
State*
Zip Code*
Age (if under 19)
Home Phone Number*
Work Phone Number
Cell Phone Number
Employer
Why are you interested in volunteering with Ele's Place?*
What type of volunteer work are you interested in? (check all that apply)
Support Group Program-Related
Other Volunteer Opportunities
If you are not interested in working directly with the Ele’s Place support group program, you may skip this section. 

Otherwise, please answer all questions.
Describe your experiences in working with children
Describe any experience you have had with the death of a family member or close friend
Do you have clinical certifications or degrees (MSW, LLP, LMSW or similar)?
If yes, please describe
Have you ever been convicted of any felonies or misdemeanors (other than for a minor traffic offense)?
If yes, please explain
Please list any previous and current volunteer experiences
Organization
Type of Work
Supervisor
Dates
I give permission to Ele’s Place to contact my volunteer supervisor(s) and I release my supervisor(s) from any liability for supplying information about my performance and suitability as a volunteer.
We strive to recruit volunteers who represent the diversity of our community.

With this in mind, we would appreciate it if you would provide the following information: 
Gender
Race / Ethnicity
Submit
*Required