Diva / Divo

VOLUNTEER APPLICATION

Please fill out the form below and submit.

Date (mm/dd/yyyy)
Name
Address
Phone
Cell
Email

How did you learn about this volunteer opportunity?

Why do you want to volunteer for DIVA and how do you view adults in need?

Area(s) of interest, please check all that apply to you:

	Working one-on-one with clients		Grant Writing • On-going funding
	Internship/Community Service • College course requirements • Court mandated		Clothing Drives • Recruiting companies/organizations to get on board
	Fund Raising		Where needed
	Out-Reach/Public Relations		Other

I understand and agree that clients using DIVA/DIVO have the right to confidentiality.
I agree not to discuss personal information regarding clients with anyone but those authorized to receive it.
This is in keeping with DIVA/DIVO’s mission statement and the dignity and respect that all of our clients deserve.

Agree

Disagree