A large group of people, all smiling, and holding up an Anixter Center sign that they made.

VOLUNTEER FORM

Thank you for your interest in becoming a volunteer with Anixter Center. Becoming a volunteer will allow you to use your talents to make a positive impact on the lives of people with disabilities. All volunteer applicants are required to go through a background check prior to being accepted as a volunteer.

For group projects, we kindly request a $500 minimum donation to Anixter Center on behalf of your organization to help offset staff time spent with your group.

Please fill out the form and our volunteer coordinator will contact you.

    First Name

    Last Name

    Phone

    Are You an Individual or with a Group
    IndividualGroup

    Is this a court-ordered community service project?
    YesNo

    You must first be approved by our Human Resources department prior to scheduling. You will be contacted by a Human Resources representative.

    Name of Group

    Number of Volunteers

    Company/Organization Name

    Street Address

    Apt/Unit/Suite

    City, State, Zip

    Phone Number

    Email Address

    Have you volunteered with Anixter Center before?
    YesNo

    Have you ever been employed by Anixter Center?
    YesNo

    Do you have any experience working with people with intellectual/developmental disabilities?
    YesNo

    Do you have any experience working with people who are Deaf?
    YesNo

    Do you know sign language?
    YesNo

    If yes, please describe. If no, please tell us what made you consider this program?

    When would you like to volunteer?

    Monday

    MorningAfternoonEvening

    Tuesday

    MorningAfternoonEvening

    Wednesday

    MorningAfternoonEvening

    Thursday

    MorningAfternoonEvening

    Friday

    MorningAfternoonEvening

    What volunteer service would you like to provide?

    TutorTax Preparer (requires training & long-time commitment)Teach Reading/Literacy Skills (requires training & long-time commitment)Help with special eventsGardenProvide office supportClean and organize program spacesServe as direct support to people