Volunteer Form Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneAlternate Phone:Email Are you 18 years old or older?YesNoCan you make a 3 month time commitment?YesNoWhat's the best time to reach you between 9am and 5pm? What days are you available?Monday Monday Hours available between 9 and 5?Tuesday Tuesday Hours Available Between 9am and 5pmWednesday Wednesday Hours Available Between 9am and 5pmThursday Thursday Hours Available Between 9am and 5pmFriday Friday Hours Available Between 9am and 5pmReferencesWork Reference Relation PhonePersonal Reference Relation Phone Description of Interest and StrengthsWhy do you want to volunteer at BLC?Please describe strengths you will be bringing to BLC.Please indicate which of the following skills and/or experience apply to you.Legal/Office Background Legal/Law Office Background Please explain a bit about the skills and/or experience and how they apply to you.Education/Training in law, Social work, Psychology (if not clear in resume) Education/Training in law, Social work, Psychology (if not clear in resume) Please explain a bit about the skills and/or experience and how they apply to you.Language Skills (identify languages other than English and your ability in each language: Language Skills (identify languages other than English and your ability in each language: Please explain a bit about the skills and/or experience and how they apply to you.Computer/Software experience/Office equipment Computer/Software experience/Office equipment Please explain a bit about the skills and/or experience and how they apply to you.Filing and organizational skills Filing and organizational skills Please explain a bit about the skills and/or experience and how they apply to you.Conducting Interviews with clients Conducting Interviews with clients Please explain a bit about the skills and/or experience and how they apply to you.Experience working with people living with mental and or physical disabilities Experience working with people living with mental and or physical disabilities Please explain a bit about the skills and/or experience and how they apply to you.Flexibility and ability to transition to and from different tasks Flexibility and ability to transition to and from different tasks Please explain a bit about the skills and/or experience and how they apply to you.Time Management Time Management Please explain a bit about the skills and/or experience and how they apply to you.Attention to Detail Attention to Detail Please explain a bit about the skills and/or experience and how they apply to you.if you have a current resume, please upload it here.Accepted file types: pdf, Max. file size: 50 MB.CommentsThis field is for validation purposes and should be left unchanged.
