Lorna is a mom of a four-year-old who was diagnosed with Autism Spectrum Disorder (specifically, PDD-NOS) in November, 2008. This blog is a series of her experiences and reflections on her journey with AUTISM, motherhood and everyday life!

Volunteer Application

First Name

Last Name

e-mail address

Address

City/State/Zip

Phone Number

Alternate Phone Number

How did you hear about us?

How many hours per week do you want to volunteer?

How many months can you commit to our program?

Please list the times that you will be available to volunteer.

Why do you want to volunteer in our program?

Ideally, what would you like to gain for yourself by volunteering with us?

Please list the names and phone numbers of at least 3 personal references (not relatives).

Do you feel you have any physical limitations or health problems that might affect your work with our child?

We would love to know more about you. Please write anything about yourself, your life, your personality, your desires for yourself, etc., so that we can have a better picture and understanding of you.

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Volunteer Application

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