3515 Linden Avenue,
Long Beach, CA 90807
Phone: 562-988-2131
Fax: 562-989-4661
Email: opjumpstrt@aol.com

Please print this form, fill it out and mail it to the address listed above.

VOLUNTEER APPLICATION NAME:____________________    DATE:_________________ ADDRESS: __________________________________ __________________________________ __________________________________ HOME #:____________________     WORK PHONE #:____________________ FAX #:____________________    EMAIL: ____________________ BEST TIME TO CONTACT YOU:____________________ AMOUNT OF TIME AND DAYS AVAILABLE: ________________________________________________________________________________ Please check off your areas of interest: ________ Board Members (three-year commitment) ________ Adult mentors (five-year commitment) ________ Tutors (especially in the areas of Math, English and Sciences) ________ Office Staff (general clerical duties):Check items below ____ Phone calls ____ Mailings ____ Typing ____ Desktop Publishing ____ Data entry ________ Special Events/Fundraising                   (assisting in solicitation of gifts and contributions from the Community, as well as working at                    various events) ________ Correspondence (solicitation letters, invitations, thank you letters, etc.):Check items below ____ Picking-up donations ____ Room and Table Decorations ____ Assisting at events ____ RSVP Phone calls ________ Grant Writers (must have some previous experience) EDUCATIONAL EXPERIENCE RELEVANT TO YOUR AREA (S) OF INTEREST: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ WORK EXPERIENCE RELEVANT TO YOUR AREA (S) OF INTEREST: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ VOLUNTEER EXPERIENCE RELEVANT TO YOUR AREA (S) OF INTEREST: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ REASON(S) WHY YOU ARE INTERESTED IN VOLUNTEERING AT OPERATION JUMP START: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ HOW DID YOU HEAR ABOUT OPERATION JUMP START? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ANYTHING ELSE WE SHOULD KNOW OR THAT IS PERTINENT TO YOUR SERVICE WITH OPERATION JUMP START: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________