Southern Arizona Association for the Visually Impaired

SAAVI is a non-profit agency serving visually impaired adults in Southern Arizona since 1964. By promoting independence, SAAVI enhances the quality of life for those with vision loss through programs offering services, skills training and social
and recreational opportunities.

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Welcome To SAAVI.US - "Get SAAVI"

Home | Accessibility Statement | Staff Directory | Contact Us

Volunteer Application

Application date: (mm/dd/yyyy)

Please enter your contact information:

Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
E-mail:

Please enter emergency contact information:

Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
Phone Number #2:
E-mail:

Where are you currently employed?

Company Name:
Job Title:

Please provide a brief description of your job duties:

Education and Training:

Are you literate in any of the following:

Basic Computing
Microsoft Office Suite
Internet and E-mail
Database Software
Graphic Design Software

Please list any previous volunteer experience:

The following is a list of possible volunteer opportunities at SAAVI.
Please indicate which you may be interested in:

Agency Support - General Office Work
Program Assistant - Art; Sewing; Weaving; Field
Operations - Grouds keeping; landscaping; etc.
Rehabilitation Assistant - Assists Rheab Staff
Technology - Technology Center
Special Projects - Fundraising, other events.
Other

Can you provide your own transportation?

Yes No

Please identify any health conditions you have:

Do you belong to any clubs or organizations?
If yes, please describe them below:

Which of the following languages can you speak/read/write?

English
Spanish
Other
Braille

For habilitation department only: Do you have First Aid Certification?
If so, please indicate the expiration date:

For habilitation department only: Do you have CPR Certification?
If so, please indicate expiration date:

Why would you like to volunteer with our agency?

A reference check will be conducted on all prospective volunteers. Please provide
the names and contact information for three references. We will be asking your
references about your qualifications and character. References should be former
employers, priest, minister, rabbi, or friends. Please enter the contact information
for these references below.

Name:
Title:
Organization:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
E-mail:

Reference #2: Contact Information:

Name:
Title:
Organization:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
E-mail:

Reference #3: Contact Information:

Name:
Title:
Organization:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
E-mail:

Have you ever been convicted of a felony or misdemeanor other then a
traffic violation? If yes, please explain:

Please provide your electronic signature below for us to process your volunteer
application:

Your Signature: