We are looking for the following volunteer's if you are interested please fill out the application and e-mail or mail to us.
we will get back to you as soon as possible. thank you for wanting to volunteer and help us with Molly's Babies Inc.

Volunteer Application

Please print clearly and fill out the application in its entirety

Name (first, middle and last) _______________________________________________________________

Home Address ________________________________________________ Apt/Suite __________________

City _______________________________________ State __________ Zip _______________________

Phone Numbers ____________________________ _________________________________________
Please include area codes cell home work

Preferred method of communication (please circle): cell - home - work - Best time to call: ______________

Male ( ) Female ( ) Email _____________________________________________________________

Date of Birth ________________

Why are you interested in volunteering with Molly’s Babies Inc?

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(Circle one’s that you’re interested in or add yes next to the number so I see it.)

1.) Website – redo and Upkeep
2.) Print and hand out Flyers
3.) Hand out Business Cards
4.) Add a button or Banner to your site/sites
5.) Collect dolls, doll supplies, office supply’s
6.) Grants
7.) Fundraisers
8.) Send letters to company’s etc
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MBI USE ONLY
Received ______________ Contacted ______________ Reference Check_______

How did you hear about Molly’s Babies Inc? ( ) Word of Mouth ( ) Newsletter ( ) Other_______________

Have you volunteered for other organizations? ____Yes ____No (If you checked yes, please continue below)
Organization Name: _____________________________________________________

Describe volunteer service below:
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Organization Name: _____________________________________________________
Describe volunteer service below:

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Please describe any work experience you think might be relevant to our program:
_________________________________________________________________________________

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Do you have any hobbies or special talents?
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Molly’s Babies Inc. has my permission to: (please check below)

Verify the 3 references I have provided. ____Yes ____No

2.) ________________________________________________

3.) ________________________________________________

Release for Publication (please initial below)
During the course of the Molly’s Babies Inc experience, there will be occasions when you may be photographed
and/or videotaped by staff, sponsors, corporate representatives, media and others. We request permission for
your participation.
By initialing below, you may choose to grant or deny Molly’s Babies Inc. permission to use
Photographs or videotapes yourself, alone or in groups, in newspaper articles, newsletters, Web-site, brochures,
Special fundraising activities, scrapbook, videos and photo albums for use in public understanding and support
of the
Molly’s Babies Inc program by granting permission below, you hereby release and hold harmless Molly’s Babies Inc.
from any claims, judgments or
demands which may arise from the use of the above referenced photographs And/or videotapes.

________ “YES, I give permission for the above-named _______ “NO, I deny consent for the above-named
Initial guests to be photographed and/or Initial guests to be photographed and/or
Videotaped for publication”. Videotaped for publication”.

By signing below, I affirm that I have answered all questions truthfully.
I understand that if any portion of this application is found to be intentionally false,
I may be denied the right to volunteer for Molly’s Babies Inc.
____________________________________________________________ _____________________

You’re Signature _____________________________________________________________ Date__________

Please mail; scan your completed application to:
Molly’s Babies Inc
Attention: Mary Blake
P.O. Box 308
Versailles, CT. 06383
mollysbabies@mollysbabies.org