Volunteer Form - Age 18 and up

My name is... *
My name is...
I was born on... *
I was born on...
The best number to reach me at is... *
The best number to reach me at is...
It's easiest to reach me by... *
My mailing address is... *
My mailing address is...
I ____ have a valid MI driver's license.
I ____ have reliable transportation.
I ____ have valid auto insurance.
Note: (JARC insurance does not cover volunteers transporting clients in their cars.)
I'm available on... *
I'd like to volunteer... *
-and I can make it...
I'm interested in being... *
(check as many as you want!)
If yes, please describe your skill or talent.
If yes, please explain. If no, please type N/A in the box below.
If yes, please explain.
Have you been referred to JARC by a court-ordered community service program? *
Failure to disclose this information will prevent applicant from having hours validated by JARC to a court official.
Please include name, phone number, and how you know this person. Only one reference may be a family member.
Please provide the name, phone number, and their relationship to you.