This form is for individuals and organizations that want to provide a volunteer service. Please fill it out as completely as possible and submit it using the button below. Fields with '*' are required. Volunteer profiles will be deleted if not updated within 1 year. Why do we need this information and what will we do with it?

Name*:	Mr Mrs Ms Dr
Gender:	Male    Female
Date of Birth:
Address:	Home    Work
Phone (Day):
Phone (Evening):
Email*:
Password*:	Using your email address and password you can login and update or delete your volunteer profile.
What time of day would you like to be contacted?
Mornings    Afternoons    Evenings    Weekends    Anytime
Current Employer:
I am:	Cornell University Student    Ithaca College Student Tompkins County Resident under 55 Tompkins County Resident over 55 Other, please explain here
I am willing to drive:	Yes    No
I have a valid Driver's License:	Yes    No
Education: Please indicate the highest level of education you have attained. High School/GED Associates Degree Undergraduate Degree Graduate Degree Post-Graduate Degree Other Other (Please Explain):

Activity Type: Please indicate the type of activity you would like to perform. (Choose all that apply.)
Adult Day Care Animal Care Artistry/Photography Arts & Crafts Instruction Board or Committee Member Bookkeeping/Accounting Business Developmnt Childcare Classroom Assistance Coaching Athletics Computer /Web Programming Computer Assistance/Instruction Conflict Resolution Construction & Renovation Projects Counseling Customer Service Dance Data Entry & Office Work Disaster/Emergency Team Donation Coord. Driving Entertaining Feeding the Hungry Fire & Rescue Foreign or Sign Language Translation Foster Care for Children Friendly Visiting Fundraising Gardening Health Care Helpline/Hotline Individual Outreach (Phone/In Person)	Internship Landscaping or Yard Work Legal or Financial Counseling Mentoring Music Music/Cultural Instruction Nutrition Parenting Personal Care: Aging & Infirm Personal Care: People with Disabilities Planning Preparing & Delivering Food Project/Event Organizing Provide Basic Health & Dental Needs Public Speaking Receptionist/Telephone Support Recycling/Reuse Projects Rehabilitation Counselor Repairs & Maintenance Sales & Customer Service Sports Summer Job Tax Preparation Theater Tourism Training Transportation Tutoring Victim Advocate Visiting & Developing Friendships Writing/Editing Youth Group Support
Other (Please Explain):
Keyword: Browse for volunteer opportunities based on your interests or the people you would like to serve. (Choose all that apply.)
Abuse, Physical Abuse, Sexual All Programs Alzheimer's Animals Arts Birth Cancer Support Children Consumer Counseling Disability, Dev. Disability, Phys. Disaster Relief Drivers Education Emergency Services Environmental Families Financial Assistnce Financial Managemnt Firefighting Food Health History HIV/AIDS	Holidays Homeless Housing Housing, Youth Human/Civil Rights Immigration/Refugee Infants Information Technlg Libraries Literacy Local Government Meal Service Mental Health Multicultural Offender/Correction Outdoors Pregnancy Schools Seniors Shelter Substance Abuse Suicide Prevention Teen Volunteers Women's Services Youth
Volunteer Group Type: Please indicate the type of volunteer you are. (Choose all that apply.) Individual Small Group (2-10) Large Group (11+) Children (5-11) Youth (12-18) College Students Families Seniors Businesses Service Clubs Environmental Groups Religious Groups Other (Please Explain):
Population Served: Please indicate who you would like to help through your volunteer experience. (Choose all that apply.) Infants Children Youth Adults Seniors Families Physically Challenged Emotionally Challenged Mentally Challenged
Availability: Please indicate when you are available. (Choose all that apply.) SUNDAY Morning Afternoon Evening MONDAY Morning Afternoon Evening TUESDAY Morning Afternoon Evening WEDNESDAY Morning Afternoon Evening THURSDAY Morning Afternoon Evening FRIDAY Morning Afternoon Evening SATURDAY Morning Afternoon Evening Other (Please Explain):
Length of Commitment: What kind of volunteer commitment can you offer? (Choose one.) 1 time only    1 month    3 months    6 months    1 year    1 year +    On-going
Geographic Area: Please indicate the geographic area(s) where you would like to volunteer? (Choose all that apply.) Ithaca    Suburban Area: