Volunteer - Evergreen Council on Problem Gambling

Name*

Title

Organization/School

Email*

Phone

Address

What kind of information do you need?

What are your volunteer interests?

If "Other":

Are you currently enrolled in school?

Yes
No

If yes, which school:

Computer skills:

Select All
Word
Excel
Outlook
Quickbooks
FileMaker
Other

If "Other":

Foreign language skills:

Other skills, training, or talents:

When and how often do you want to volunteer?

Which days are you available?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Are you available on short notice?

Yes
No

Current employer:

How many hours per week do you work?

Other current volunteer work:

Please list your work and volunteer experience:

Consent*

I agree*

By checking the box below, I give permission to the Evergreen Council on Problem Gambling to obtain information regarding my previous volunteer and/or work experience. I certify that the facts in this volunteer application are true to the best of my knowledge. I hereby release the Evergreen Council on Problem Gambling and its staff from any and all liability for loss, damage, injury, or illness to any person or property which may be incurred through participation in the ECPG volunteer program. I understand that I have the option of refusing to perform any work task that I feel may be unsafe or have the potential for personal harm, and that it is my responsibility to make such a determination.

Phone

This field is for validation purposes and should be left unchanged.

Become a Volunteer

Please fill out the form below if you are interested in becoming a volunteer with ECPG.

Become a Volunteer