Volunteer Interest Form

Please complete this form and bring it to 240 Appleby Hall, or call us at 612-626-2044 to make an appointment.

Name: ______Date: ______Email: ______

Phone #: ______Student ID #: ______

College (circle answer): CLA CSE CBS CCE CDES CEHD CFANS CSOM Other: ______

Major(s):______Minor(s): ______Student Status (circle): FR SO JR SR SR+ GR ALUM

Possible career path: ______

Are you an international student? YES NO

Do you plan on studying abroad or have you already? If so, where? ______

How did you learn that our office can help you find volunteer opportunities? Check all answers that apply:

("CSLC" refers to the Community Service-Learning Center, the office offering this service.)

□ Friend □ CSLC Staff □ Poster or flyer □ U of M advisor □ Class presentation

□ CSLC Email □ CSLC Website □ Community Involvement Fair event □ Orientation / Welcome Week

□ ISSS □ Faculty: ______□ Other: ______

What specific volunteering have you done and when? ______

______

What type of volunteering are you interested in / what are you most enthusiastic about? ______

______

Which of the following groups do you prefer to work with? Check all that apply

□ Infants/preschoolers

□ Youth: ages______

□ Adults

□ Senior Citizens

□ Arts Organizations

□ Economic/Business Development

□ Family Services/Family Violence

□ Environmental/Animal Rights

□ Health Care/Public Health

□ Public Policy/Criminal Justice

□ Housing/Homelessness

□ Disabilities/Therapy Programs

□ Literacy/Education

□ Men

□ Refugees/Immigrants:______

□ Chican@/Latin@

□ Women

□ African Americans

□ Native Americans

□ GLBT Communities

□ Asian Americans

□ No preference

Logistical Information:

What length of time are you planning to commit to a community organization?

□ 1 semester

□ 2 semesters

□ 1 year

□ More than a year

Do you have access to a car? □ Yes □ No

Which neighborhood of the Twin Cities would you ideally like to work in?

For staff use: Appt. date and time:______CESP? Y / N Advisor: ______

form updated 4/2011

Community Service-Learning Center · 240 Appleby Hall · 612-626-2044 · www.servicelearning.umn.edu