Volunteer Interest Form


    First Name

    Middle Name

    Last Name






    Postal Code




    Would you like to receive APAH's monthly eNews?

    Yes, please sign me up to receive eNews!No, thank you. I'm not interested.

    Are you aged 18 or older?*

    Yes, I am Age 18 or olderNo, I am not

    If you are not 18 or older, what is your age?

    I am interested in:*

    Occasional volunteer opportunitiesOngoing volunteer opportunitiesSpecial eventsChildrenSenior citizensAdvocacyCommunity outreachOffice/administrationFood distributionTeaching/presenting/tutoring

    I am generally available:*

    Monday Mornings (9am - Noon)Monday Afternoons (Noon - 5pm)Monday Evenings (5pm - 9pm)Tuesday Mornings (9am - Noon)Tuesday Afternoons (Noon - 5pm)Tuesday Evenings (5pm - 9pm)Wednesday Mornings (9am - Noon)Wednesday Afternoons (Noon - 5pm)Wednesday Evenings (5pm - 9pm)Thursday Mornings (9am - Noon)Thursday Afternoons (Noon - 5pm)Thursday Evenings (5pm - 9pm)Friday Mornings (9am - Noon)Friday Afternoons (Noon - 5pm)Friday Evenings (5pm - 9pm)Saturday Mornings (9am - Noon)Saturday Afternoons (Noon - 5pm)Sunday Mornings (9am - Noon)Sunday Afternoons (Noon - 5pm)

    Do you speak any languages other than English?

    Are there special skills or interests you'd like to share?

    Volunteer Emergency Contact Name*

    Volunteer Emergency Contact Relation*

    Volunteer Emergency Contact Phone*

    Confidentiality Policy

    Respecting the privacy of our residents, donors, employees, volunteers and of the Arlington Partnership for Affordable Housing (APAH) itself is a basic value of our nonprofit organization. Employees, volunteers and board members of APAH may be exposed to information which is confidential and/or privileged and proprietary in nature. It is the policy of APAH that such information must be kept confidential both during and after employment or volunteer service.

    All information concerning residents, former residents, our staff, volunteers and financial data and business records of APAH is confidential. “Confidential” means that you are free to talk about APAH, our programs, and your position, but you are not permitted to disclose residents’ names or talk about them in ways that will make their identity known. No information may be released without appropriate authorization. This is a basic component of resident support and business ethics.

    Conversations in public places, such as restaurants and elevators should be limited to matters that do not pertain to information of a sensitive or confidential nature. In addition, employees, volunteers and board members should be sensitive to the risk of inadvertent disclosure and should, for example, refrain from leaving confidential resident information on desks or otherwise in plain view and refrain from the use of speakerphones to discuss confidential information if the conversation could be heard by unauthorized persons.

    Employees, volunteers and board members are expected to return materials containing privileged or confidential information at the time of separation from employment or expiration of service. Unauthorized disclosure of confidential or privileged information is a serious violation of this policy and will subject the person(s) who made the unauthorized disclosure to appropriate discipline, including removal/dismissal. This policy is not intended to prevent disclosure where disclosure is required by law.

    By typing my full name and today's date below, I confirm that I have received a copy of the APAH Volunteer Confidentiality Policy and agree to abide by the guidelines set forth therein.

    Today's date

    Full Name

    Additional Comments