National Federation of The Blind of Ohio
BELL Volunteer Application Form

Name: 
Address:
City, state, zip:
Home phone:
Cell phone:
Email Address:
Referred by:
Occupation:
Employer:
Education level: degree:
Skills, interests, hobbies:
Describe your experience working with the blind:
What experience do you have working with blind children?
Do you know Braille? If so, do you read by touch or by sight?
Have you been convicted of any crime in the past 10 years? If yes, please explain.
If accepted for volunteer service, what type of assignments would you prefer?
Why do you want to volunteer for this program?
What days are you available for service during the program July 21 through August 2?
Please list two business references:
Business references:
Name:
Address:
Phone: 
Email address:
Name:
Address:
Phone: 
Email address
Please list three personal references of people not related to you:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Emergency contact information:
Name:
Address:
Phone:
Mobile: