Volunteer Application

Get Involved

First Name

Phone Number

Address

City/Town

State

Zip Code

What activities are you interested in helping with?

Date of Birth

Emergency Contact Name/Relation

Emergency Contact Number

Have you ever been convicted of a felony, or of a misdemeanor that resulted in incarceration?

Yes No

If you answered yes above, please explain

Employment Status

If employed, where?

How did you hear about The Arc?

Comments

The Arc of Southwest Alabama…where we reach goals and achieve success beyond expectations!