Volunteering

Fort Discovery Volunteer Application

* Indicates data is required.
* Mailing Name:
(Title, First, MI, Last)
* Mailing Address:
(Street, PO Box, Apt. #, etc.)
* City:
* State:
* ZipCode:
* Home Phone #: ()    

Name used:
(If different than above)
* Date of Birth:
 (Month/Day/Year)

E-Mail Address:

Current Employer:

Employer Phone #: ()    

Skills:
(List any skills you can offer)

Background:

Previous Volunteer
Experience:


I prefer to volunteer on: Weekdays   Weekends    Both

* Areas of interest to you:
 You may select multiple interest areas.  To select more than 1 item, use <CTRL> + mouse left-click.
Please list 2 references. These should be persons qualified to answer questions about your character and your qualifications (Not spouses or parents)

Reference 1:
* Name:
(Title, First, MI, Last)
* Mailing Address:
(Street, PO Box, Apt. #, etc.)
* City:
* State:
* ZipCode:
* Day Phone #: ()     

Reference 2:
* Name:
(Title, First, MI, Last)
* Mailing Address:
(Street, PO Box, Apt. #, etc.)
* City:
* State:
* ZipCode:
* Day Phone #: ()     

Name, Address, Phone # of Person to Contact in Case of Emergency

* Name:
(Title, First, MI, Last)
* Mailing Address:
(Street, PO Box, Apt. #, etc.)
* City:
* State:
* ZipCode:
* Day Phone #: () 

        


 
Program Manager Contact Information
Name: Kathy Thibault
One 7th Street
Augusta, GA 30901
Phone: (706) 821-0609 or (800) 325-5445 ext. 0609
FAX: (706) 821-0250
Email: thibaultk@nscdiscovery.org