VOLUNTEER INFORMATION FORM

Volunteer Information Name: Current Address: City: E.mail Address: Areas of Interest Seniors Children All Sign Language Information Name of School: Level: Beginning Intermediate Events of Interest Holiday Parties General Office/Mass Mailings Workshops Public Relations Health Fairs Community Career All Availability Let us know when you are available: Weekday Mornings (8a-12n) Weekday Afternoons (1p-5p) Weekends Advanced Adults Young Adults State: Zip: Date:

Comments & Special Skills

The Greater Los Angeles Agency on Deafness, Inc. 2222 Laverna Avenue Los Angeles, CA 90041 (323) 478-8000 TTY/Voice (323) 550-4205 Fax www.gladinc.org