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Date Received by Foundation: ___________
P.O. Box 339 Hermosa Beach, CA 90254 (310) 543-9477
International Empowerment Education Foundation
___________________________________________________________________________________________________________________
VOLUNTEER APPLICATION
Please return completed application to address below. Thank you.
Date:
___________________
Name:
Referred by:
Last First
MailingAddress: ________________________________________________________________________________
________________________________________________________________________________
Contact info:
(Home Phone) (Cell)(email) (Fax)
How much time would you be able to volunteer with our organization?
Hours per week Days available Times Available__________________________________________________________________________________________
What do you feel you can offer to our organization?
__________________________________________________________________________________________
What can the organization do to empower you as a volunteer?
__________________________________________________________________________________________
LANGUAGE(s)
Fluency Rating: 1 = Very Little 2 = Fair 3 = Very WellLanguage Speak Read Write Translate____________________________ _________ _________ ________ _______________________________________ _________ _________ ________ ___________
Women’s Peace Campaign
www.womenspeace.com
Youth Empowerment Network
Creating leaders who lead by choice, not by chance
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