Name:      Daytime Phone:     
   Address:      Evening Phone:      
   E-Mail Address:

   Time Available for:
   Volunteering:  

   Special Time of the Year:
   Available:
   Usually Available:
         Morning Afternoons Evenings Weekends

   Hobbies:
  

   Past Volunteer Experience:
  

   Employment (Company, Position, Supervisor & Phone):
  

   Do you have any health limitations which would interfere in the performance of volunteer work?
  

   Below is a list of boards/events that use volunteers.   Please check any you may want to be involved with:

   -Main Street Program-Historical Museum Board-Landmark Commission (Historic Preservation Work)

   -Tourism Board-Mineola Dev. Inc. Board (Economic Development Board)-Parks & Open Space Board

   -Certified Retirement Program-Planning & Zoning Comm.-Special Promotion Events