National Eating Disorders Association

* required

Salutation
First Name *
Last Name *
Address
City
State *
Zip Code
Country
Phone Number
Email Address *
Age*
Some volunteer positions may require applicants be over 18 or over 21 years of age.

I would like to volunteer at*

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

National Eating Disorders Association Administrative Hours of Operation: 9:00am-5:00pm, Mon.- Fri. EST; Helpline Hours of Operation: 9:00am-9:00pm, Monday through Thursday and Fridays from 9:00am-5:00pm EST.
Please indicate your time availability and preferences:
Preferred number of hours per week: *
Preferred number of hours per month: *
Available start date? *

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, volunteer experience, or hobbies as they pertain to the volunteer opportunity:

Please share your thoughts concerning any expectations or ideas for your volunteer experience, what you feel are your greatest assets you bring to being a NEDA volunteer, or your personal feelings regarding eating disorders and body image:

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.