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Volunteer & Internship Application

* required

First Name *

Last Name *

Address

City

State *

Zip Code

Country

Phone Number

Work Number

Email Address *

Preferred Volunteer and/or Intern Positions (please rank your choices):

1st Choice

2nd Choice

3rd Choice

National Eating Disorders Association Hours of Operation: 8:30am-4:30pm, Mon.- Fri. PST
Please indicate your time availability below:

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Weekdays

Evenings

Other

Preferred hours per week: *

Preferred hours per month: *

Available start date? *

Employment
Please provide either your current or most recent employer:

Employer Name

Employer Address

Employer Phone

Supervisor

What is your highest level of education/degree obtained?

I grant the National Eating Disorders Association the right to contact the following reference:

Reference Name

Reference Phone

Reference Relation

Emergency Contact

Name

Phone

Relation

Describe any specialized training, apprenticeship, skills or hobbies as they pertain to the volunteer opportunity:

Top 3 skills I enjoy using and would like to contribute:

Describe previous or current internship or volunteer experience:

Your expectations, ideas and/or hopes for your volunteer experience:

Complete the following statements, clarifying your feelings:

My greatest asset for becoming a NEDA volunteer is:

People who have eating disorders are:

Dieting, as far as I’m concerned, is:

Body image issues are:

APPLICANT’S STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application at the discretion of the National Eating Disorders Association.

I understand that false or misleading information given in my application or interview(s) may result in dismissal as a volunteer. I understand, also, that I am required to abide by all rules and regulations of the National Eating Disorders Association.