The Jesuit Retreat Center of Los Altos

Support Our Mission —
Volunteer Application

Please print out the form below and mail it to the address at the bottom.

Name: ________________
Address: __________________  Phone Number: _________
City: _____________ State: __  Zip: _____
Email: ________________
Do you work: Full-time   Part-time   Retired   Unemployed   Student  
Other ________________
Employer: __________________ City: __________________
Job Title: _______________________ Phone: _____________
Why do you want to volunteer?
______________________________________________
______________________________________________
______________________________________________

Volunteer experience:
______________________________________________
______________________________________________
______________________________________________

Work or other life experience that you believe might serve you well in your volunteer responsibilites:
______________________________________________
______________________________________________
______________________________________________

Skill, talents, and interests:
______________________________________________
______________________________________________
______________________________________________

Volunteer opportunities (check all that you might be interested in):
Bulk mailing   General office Special projects   Computer (please specify skills below)
Times available: Mon   Tues   Wed   Thurs   Fri   9 - Noon   1 - 5  
hours per week ___
Is there anything we need to know that will assist us in placing you?
______________________________________________
______________________________________________
______________________________________________

In case of emergency, contact: ____________ Phone: ______________
References:
Name: ____________ Phone: _______________
Name: ____________ Phone: _______________

300 Manresa Way, Los Altos, CA 94022
Phone: 650-917-4000   Fax: 650-948-0640