Volunteer Center Of
Bergen County
64 Passaic St.
Hackensack, NJ 07601
Tel: 201-489-9454
Fax: 201-489-1995
Learn About Us     |    Contact Us     |    Support Us     |    Site Map     |      Email:  info@bergenvolunteers.org


 

*required                
*Name
*Email:
Address:
City:
State:

Zip:  

Home   Phone:  

   Work Phone:  

Can you be
called at work?

 Yes   No

Employer:  

Occupation:  
 
Would you like to be contacted about volunteer opportunities by:

Phone

Fax

 Please provide number

Mail

E-mail

 Please provide address 

Times available to volunteer?   Day     Evening      Weekend     Flexible

Your Age?   Under 21    21-39    40-59     60+
 
Do you have your own means of transportation? Yes     No
 
Geographic area where you want to volunteer

Type of volunteer work you want to do:

directly helping people     office work    fundraising     board member

SpecificSkills,
Interests,
Experience:

 
From the list below Indicate by numbers (1, 2, 3) your top three areas of interest in the appropriate boxes below.
  • Alcohol/Drug Abuse
  • Animals
  • Arts/Culture (please specify and area)
    -Dance
    -Museums/Historic Sites
    -Theater
    -Television
  • Hospital
  • Housing
  • Hunger Relief
  • Disabled (please specify and area)
    -Adults
    -Children
  • Emergency Services
  • Environment
  • Family Services
  • Financial Services
  • Homelessness
  • Education/Literacy
  • Hospice
  • Mental Health
  • Recreation
  • Senior Citizens
  • Specific Illness (please specify and area)
    -Preschool
    -School Age
  • Victim Support
  • Women’s Services
  • Youth

1  

2  

3  

  

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