Volunteer Application
Dedicated to supporting and empowering individuals living with HIV/AIDS.
Contact Information
Contact Information
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Please complete this field.
Availability
Availability
What Days Are You Able To Volunteer?
Please complete this field.
Please complete this field.
Please complete this field.
Interests
Interests
Please complete this field.
Related Experience
Related Experience
Please complete this field.
Please complete this field.
Do You Have Any Past or Present Conviction/Arrest Charges?
Do You Have Any Past or Present Conviction/Arrest Charges?
Please complete this field.
Person to Notify in Case of Emergency
Person to Notify in Case of Emergency
Please complete this field.
Please complete this field.
Signature
Signature
Please sign your name in the area below
By submitting your signature, the parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
Please complete this field.
It is the policy of PATF to provide equal opportunities without regard to race, color, ancestry, religion, sex, gender presentation, sexual orientation, age, national origin, citizenship, disability, or veteran’s status. Speakers are required to submit a request for criminal record check and obtain Pennsylvania child abuse history clearance (Acts 33 and 34).
Volunteering with the Speakers Bureau
Volunteering with the Speakers Bureau
If you're interested interested in giving presentations with the Speakers Bureau, please answer the following additional questions:
Please complete this field.
Please complete this field.