The Catalina Preservation Society
2013
Volunteer Application Form
“All Volunteers must be Members of the Society”
Fill out the application and email it to
Name:
______________________________________________________________________________
First
Initial
Last
Address: ______________________________________________________________________________
Number
Street
Apt No., Unit No., P.O Box
_______________________________
___________-_________
City/Town
Postal Code:
Home #: (_______) _________-___________
Cell #: (_______) _________-___________
Email: ___________________________________________________
Position Applying For:
Number of Hours Available Each Week - Month:
(Please select applicable title)
(Please select an approximate Number)
Please choose below
Please select below
Are you available to travel?
Select below
Have you had any Previous Volunteer Experience?
Organization
Position/Major Responsibility
Dates of service (yy/mm)
1_________________________________ _______________________________
______________________________
2_________________________________ _______________________________
______________________________
List the Qualifications and Skills that you bring to this Position:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Signature of Applicant
Date
Office Use: Ground School completed date
____________________________________
PBY Orientation completed date
____________________________________