Volunteer

First/Last Name (required)

Gender
 male female

Email (required)

Street Address

City

State

Zip

Telephone

Why do you want to volunteer or intern with TASSC?

How did you learn about TASSC?

Skills, Training, Qualifications, Interests

Program Information (Please indicate below in what capacity you'd like to be involved)
 Art Therapy Basic Life Skills Body Work (massage, reiki, acupressure) Bookkeeping/Clerical Campaign Volunteer Computer/IT Training Dance Therapy Database Entry Dental Assistance Driving Services English as a Second Language (ESL) Fundraising Interpreter Job Training Legal Assitance Medical Assistance Physical Therapy Psychotherapy Research Sports Organizing TASSC Companion (e.g. walks, trips) Website Maintenance

Availability

Reference 1 Name

Reference 1 Relationship

Reference 1 Contact Information

Reference 2 Name

Reference 2 Relationship

Reference 2 Contact Information