Guiding Eyes for the Blind | Campus Volunteer Application

Where do you want to volunteer?

Patterson, Putnam County, NY

Yorktown, Westchester County, NY

Either

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How did you hear about our volunteer program?

Why would you like to volunteer with us?

T-Shirt Size

Are you sensitive to chemicals such as bleach or other common cleaning agents? If yes, check the box.

Yes

No

This field is required

Have you ever had any knee, back, shoulder, or neck problems?

Yes

No

This field is required

Please select the task(s) you are able to perform unassisted. If none, please leave blank.

Lift, push, pull, and/or maneuver up to 40lbs easily

Lift, push, pull, and/or maneuver up to 75lbs easily

Bend repeatedly for up to 4 hours without difficulty

Kneel repeatedly on hard surfaces without difficulty

Stand and walk for up to 4 hours without difficulty

Cleaning tasks such as disinfecting equipment and mopping floors

This field is required

Are you currently receiving treatment for, or recovering from any other physical condition which might affect your ability to volunteer with us?

Is there anything that you would like to share that might impact your ability to volunteer with us?

Are you applying to fulfill school or court-ordered community service requirements?

Yes

No

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Community Service Type

School-based

Court-based

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Conviction Information

How many hours do you still need?

What is the completion date?

On-Campus Volunteer Application