Volunteer Application

Please be sure that you complete this application fully. Missing information, or not ‘signing’ the form will mean that we can’t process your application.

Name

Address

City

State

Zip Code

Phone

What is the best way (email, or phone) and time to contact you?

How do you wish to volunteer?

If you selected "I have something else like to do,' please tell us how you would like to help.

Additional information you would like to add about your talents and experience:

Please type your name in the box below, which is your digital signature.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-HELP-FLA OR ONLINE AT www.FloridaConsumerHelp.com (http://www.floridaconsumerhelp.com/),

REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. FLORIDA REGISTRATION NUMBER CH44235