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The 2015 Joe Andruzzi Foundation (JAF) Volunteer Profile The Foundation feels very fortunate that over the years we have had a large increase in
interested volunteers. Completion of this volunteer profile will assure you are added to
the volunteer database. All individuals completing this form will hear from JAF as our
needs for each event become defined.
Send completed form to: Gillian Furey | Joe Andruzzi Foundation
200 Chauncy St., Suite 208 | Mansfield, MA 02048 | USA
Office: 508-261-0630 | Fax: 508-261-0631 | Cell: 774-266-0269
Email: [email protected]
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Applicant Information First Name: ________________________________ Last Name: ________________________________ Address: _____________________________________________________________________________ City: ____________________________________________ State: ________ Zip: ___________________ Home Phone: _________________________________ Cell Phone: ______________________________ Employer: ________________________________________ Title: _______________________________ Work Address: ________________________________________________________________________ City: ____________________________________________ State: _______ Zip: ____________________ Work Phone: __________________________________ Fax: ____________________________________ Email Address: _______________________________________________________________________ Volunteer experience Have you volunteered for the JAF before? ____Yes ____No If yes, what events did you volunteer for and what were your jobs? 1.______________________________________________________________________ 2. ______________________________________________________________________ 3.______________________________________________________________________ 4.______________________________________________________________________ If not, please list other events/organizations you have volunteered for what what your jobs consisted of: _____________________________________________________________________________________ Do you have any special skills or certifications that could help out the JAF: _____________________________________________________________________________________ 2
Please answer the following questions so to help us learn more about you: Are you affiliated with the Joe Andruzzi Foundation? _____Yes ______No If yes, how: _______Individual Donor _______Corporate Donor _______Patient Recipient _______Board Member _______Relative or Friend of a JAF Board Member _______Relative or Friend of a JAF Staff Member _______Other: _______________________________________________________________________ How did you learn about the Foundation? _____________________________________________________________________________________ Please describe why you would like to volunteer for the Joe Andruzzi Foundation? _____________________________________________________________________________________ Emergency Contact: Name: _______________________________________ Relationship: _____________________ Telephone: ___________________________Cell Phone:________________________________ Allergies/ Medications: _______________________________________________________________ Please list any medical or physical needs we should be aware of that may impact you ability to volunteer with the JAF (Restrictions). ______________________________________________________________________________ 3
Please Check off ALL areas that you would be interested in volunteering in: *JAF Special Events* -‐ Volunteer • Boston Marathon® – Boston, MA (April 20, 2015)  Water stops (Saturdays Jan-‐April) – Set up water stations along marathon training route. All supplies will be provided by JAF  Street Team (Marathon Monday) – Gather in areas along the marathon route with JAF cheer signs • 7th Annual Joe Andruzzi & Friends Golf Tournament (June 29, 2015-‐ Pine Hills Golf Course)  Event Crew • Falmouth Road Race (August 16, 2015 – Falmouth, MA)  Street Team (Race Day) – Gather in areas along the Falmouth Road Race route with JAF cheer signs *Awareness*-‐ Volunteer  JAF ambassadors – Volunteer to represent JAF at various events (often third party events) to help spread awareness and answer questions about the foundation and its mission. (Dates TBD) *JAF Office* -‐ Volunteer  Administrative -‐ Office volunteers provide valuable clerical support such as data entry, assembly of educational materials, facilitation of large mailings and assistance with various special projects. Volunteers may spend as little as one hour or as many as 20 hours per week. (Location: JAF Offices) Mansfield, MA 4