Volunteer Application Form

Apply to volunteer at the WCJ.

First Name

Last Name

Phone Number

Type of Volunteer

Volunteer Intern

Employer

Occupation

School (for Interns only)

Major (for Interns only)

Emergency Contact Name

Emergency Contact Number

Reference #1

Reference #2

Reference #3

Start Date

End Date

What areas of interests or skills do you have that you would like to share with us here?

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Images are Stock Photos; Not Actual Clients

WCJ DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, AGE, NATIONAL ORIGIN, MENTAL OR PHYSICAL DISABILITY/DISABILITY STATUS, SEX/GENDER, PREGNANCY, MILITARY STATUS/STATUS AS A VETERAN, GENETIC INFORMATION, CITIZENSHIP, IMMIGRATION STATUS, MARITAL STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, GENDER EXPRESSION, LIMITED ENGLISH PROFICIENCY, LANGUAGE SPOKEN, OR OTHER LEGALLY PROTECTED STATUS. WCJ FACILITIES ARE ACCESSIBLE, AND WE WILL PROVIDE ACCOMMODATIONS, INCLUDING FOREIGN LANGUAGE INTERPRETERS, AMERICAN SIGN LANGUAGE INTERPRETERS AND ALTERNATIVE FORMATS OF PRINTED MATERIALS, UPON REQUEST FOR PERSONS WHO ARE DEAF, HARD OF HEARING, OR ARE LIVING WITH DISABILITIES, OR FOR PERSONS WHO ARE LIMITED ENGLISH PROFICIENT. TO ENSURE THAT YOU RECEIVE THE NECESSARY ACCOMMODATIONS, PLEASE MAKE YOU REQUEST NO LATER THAN 7 DAYS PRIOR TO THE EVENT BY EMAIL SO THAT THEY CAN BE AVAILABLE TO YOU FROM THE START OF THE EVENT.