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Planned Parenthood Santa Barbara, Ventura and San Luis Obispo Counties
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Volunteer

VOLUNTEER ENROLLMENT
Download a printable version of this form

As part of our Planned Parenthood volunteer team you can become part of something you believe in. The information on this form will help us find the most satisfying and appropriate volunteer service for you.

Name
Date
Address
City/State/Zip
Home Phone
Email Address
Are you over 18 years of age?
YES NO
If NO, what is your date of birth?
Current Employer
 Job Duties

Have you ever served as a volunteer in a public or a private agency? Yes No
If so, where & when?

How did you first learn of Planned Parenthood?

Why are you interested in volunteering at Planned Parenthood?

What is your feeling about contraception for minors or unmarried women?

What is your feeling about abortion?

Volunteer Interests & Availability

Areas Of Interest:

Clinic (check if interested in ALL Clinic opportunities)

Clerical

Administration (check if interested in ALL Administration opportunities)

Clerical

Development (check if interested in ALL Development opportunities)

Choice Affairs
 Book Sale
 Community Luncheons
 Special Events

Public Affairs (check if interested in ALL Public Affairs opportunities)

E-mail Rapid Alert Network
 Internship
Special Events

Education
 Clerical

 

Other (Specify):

Special skills or services you'd like to offer (i.e. language fluency, computer skills, art):

Times you have available to volunteer: (days & hours)

References: (Give 2 and list their relationship to you. Please do not list family members.)

Name Phone Number
Name Phone Number


Having trouble submitting this form online? Use our printable form (PDF) and fax it to us (805-965-2292), ATTENTION: VOLUNTEER COORDINATOR "

 
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