Wellness G.I.F.T.S. Inc. ​
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    Volunteer and Assistant Application

    Please make sure you have contact information for three references and any other information you may need to complete the form before starting. Leaving the page will start the application process over.
    Please enter your age at the time of training.
    Please let us know if you have an alternate address or other contact information and times when your communication preferences change.

    Emergency Contact Information


    Availability


    Assignment Preference



    Photo Permission


    History



    Please rate yourself in each of the following areas using the drop down boxes.


    References

    If you are 18 or older or if you plan to complete an internship or community service commitment with Wellness G.I.F.T.S., please identify three professional or two professional and one personal references.

    If you are under 18, please provide at least one professional reference (a teacher, someone for whom you babysat, for example) and two personal references.

    Please include an address and either a phone number or email for each reference. We will call or email each reference and will mail a form if they are not available via email or phone.

    Reference 1

    Reference 2

    Reference 3

Submit Volunteer and Assistant Application
Questions?  volunteer@wellnessgifts.org, or text 607-684-3243
(C) 2015 Wellness G.I.F.T.S.
7531 County Rt 13
Bath NY 14810
p. 607-684-3243
​f. 607-776-9218