Volunteer Registration
Name (Last, First)
 Age
 Date of Birth
Address
City
 State
 Zip
Home Telephone
( ) -
Work Telephone
( ) -
Other Telephone
( ) -
Email
Do you speak a foreign language? Yes
If yes, which?
Occupation
Company Name
Shift/Schedule
Name of Chief/Supervisor
Previous Jobs or Skills
Previous Volunteer Experience:
Agency and Position
Why do you want to volunteer for the Burn Institute?
How did you hear about the Burn Institute?
What days and hours are you available to volunteer?
Please check each volunteer opportunity that interests you.
Camp Beyond the Scars - January & August
Share Your Heart - February
Firefighters Destruction Derby - June
Burn Run/Fire Expo - July
Burn Survivor Monthly Outings
Office/Clerical Support
Community Health Fairs – year-round
Burn Institute Auxiliary
Smoke Detector Installations – year-round

 

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Burn Institute
San Diego
8825 Aero Drive #200
San Diego, CA 92123-2269
(858) 541-2277 phone
(858) 541-7179 fax

Burn Institute
Imperial Valley
612 "J" Street, Suite 3
Imperial, CA 92251
(760) 355-3175 phone
(760) 353-3005 fax

Burn Institute
Inland Empire
P.O. Box 1423
Colton, CA 92324
(909) 307-3377 phone