A.C.E.S.

Adaptive Computer Empowerment Services, Inc.

10054 Prospect Ave., Suite E
Santee, CA 92071
Office - 619-448-5253    Fax - 619-448-0636

A.C.E.S. is now on Facebook ! Come visit us (click ->)!

 

 

 

 

 

 

Volunteer Application

Dear Applicant,

Thank you for your interest in helping ACES bring the empowerment of computers to the disabled community of San Diego. Please take a moment to fill out this application so that we might learn a little bit more about you and utilize your interests and skills most effectively.

 

    Section A. PERSONAL INFORMATION

NAME :

ADDRESS :

CITY :       STATE :     ZIP :

HOME PHONE :    WORK PHONE :

E-MAIL ADDRESS :

DATE OF BIRTH :    SOCIAL SECURITY # :

YEARS OF EDUCATION :      SEX :

EMPLOYER :

[HRule Image]

EMERGENCY CONTACTS

NAME :   PHONE :

NAME :   PHONE :

[HRule Image]

Section B. VOLUNTEERING INFORMATION

 

How did you first become interested in working with ACES?

Have you ever volunteered for any other organizations? 

If yes, please indicate :

 

Any previous experience in working with the disabled?

If yes, please describe :

 

    Do you have any knowledge or experience with computers?
     
With which computers are you most familiar?
 
Are you familiar with the Internet?
If so, have you ever used Microsoft Internet Explorer?
Have you ever used email?
Do you have any knowledge of, or interest in computer repair?

Any experience with adaptive software for people with disablities?
If Yes, please describe :

5. Would you have difficulty relating to any type of client?

If Yes, please explain:

Time commitment. Please indicate how much time you would be willing to volunteer:

Hours Per Month:
Hours Per Week:

 

References. Please provide two references we may contact. Please do not list relatives.

Name : Phone number :

Name : Phone number :

 

Please indicate which of these areas would be of most interest to you:

Administrative

Volunteer tutoring (requires vehicle)

Computer installation (requires vehicle)

Computer repair

Publicity

Contribution Development

Contribution Pick Up (requires vehicle)

E-mail Newsletter

Do you have any physical limitations for which accomodations should be made?

If Yes, please describe :

Do you speak any languages other than English?

If yes, which languages?

 

Is there anything else about you that you would like us to know? If so, please describe here :

 


 

Send mail to padams@adaptive.org with questions or comments about this web site.
Copyright © 1996 Adaptive Computer Empowerment Services
Last modified: February 09, 2010

 

Copyright © 1996 Adaptive Computer Empowerment Services

Last Updated: 01/02/2012