Volunteer Application Name * First Last Address* Line 1 Line 2 City State Zip Code Country Email * Phone Number * Place of Employment & Occupation * Date of Birth * How did you hear about the Bleeding Disorders Foundation of Florida? * Previous Volunteer Experience * Hobbies, Skills, Interests * What are your strengths, special talents, or abilities? * What type of Volunteer Work are you interested in? *Fundraising/Special EventsOffice/Administrative WorkPublic SpeakingHealth FairsResearch or Individual Projects Please mark your availability *FlexibleSporadically for EventsWeekdays-AMWeekdays-PMWeekends Background Information Have you ever been convicted of a criminal Offense? *YesNo If Yes, Please explain * Do you have any physical/medical limitations or are you under any course of treatment that might limit your ability to perform certain types of work? *YesNo If Yes, Please explain * Δ
