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Good Morning. Welcome to Kirbyville Online.
Sign Up For The Volunteer Program
All Required Fields are in
RED
Name:
Address:
City:
State:
Zip:
Recent Employer:
Profession:
Home Phone:
Work Phone:
Fax Phone:
E-Mail:
Emergency Contact Name:
Emergency Phone:
Where did you hear about Kirbyville Online and our volunteer opportunities?
Have you been convicted of a felony within the past five years? Yes
No
If YES, please explain:
If you have a disability, what accommodations would you need to do this volunteer position?
When are you available to volunteer?
Time of Day:
Mornings
Lunch
Afternoons
Evenings
Day of Week:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday.
How often per month?
As often as needed
5 or more days a month
Less than 5 days a month
Occasionally
Only for special functions
Can you volunteer at one of the 6 Public Access sites?
Yes
No
Do you prefer to volunteer from home?
Yes
No
Do you have a computer at home?
Yes
No
If yes, what type?
Does it have a modem?
Yes
No
Don't Know
If yes, what type?
Do you have an Internet connection at home?
Yes
No
Volunteer Job Preference(s) Mark each that apply:
Volunteer Resource Manager
Training Program Administrator
Trainer
Information Specialist
Clerical
Web Administrator/Webmaster
Content Webmaster
Information Provider*
Systems Administrator
Technical Support
Site Volunteer
*If you checked Information Provider, Please list the name of the organization you are representing.
What attracted you to Kirbyville Online in particular?
What skills, training or knowledge do you wish to utilize at Kirbyville Online?
What training, resources or support do you anticipate needing to do this volunteer work?
Please provide two personal or professional references:
Name, Phone, Number, Relationship
1.
2.
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