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Volunteer Application

If you are interested in becoming a volunteer, please complete the Volunteer Application Form below. If you prefer to print the form and mail it to our office, you may use the printable version.  Mail completed volunteer applications to:

Central Blood Bank
Five Parkway Center
875 Greentree Road
Pittsburgh, PA 15220
Attn: Administrative Services Coordinator

 


First Name *           MI        Last Name *   
Date of Birth  * (required for positive ID)
Month   Day   Year (Year Optional)


You must be at least 15 to volunteer at CBB.  By checking this box you are verifying that you meet our minimum  age requirement.

Are you 15 years age or older?   
 
Street address
 Address (cont.)
City                                           State     Zip
    
Daytime Phone Number
  -     
Evening Phone Number
  -     
Cell Phone Number
  -     
E-mail *
Occupation
Organization (school, retiree org., senior center, etc.)
Previous Work Experience
Volunteer
Paid
Education or Special Training
Restrictions that might/will affect your availability for volunteer work: (family, work, etc.)
Special Interests (hobbies, skills)
Community or school activities
Volunteer Hours and preferred days
(Check all the that apply)
Morning Afternoon Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How often do you wish to volunteer?
hrs / month
            
hrs / week  
Would you prefer to work at
   Community Donor Center
   Mobile Blood Drives
   Office Work
   Other
Additional comments regarding your preference for volunteer projects

Are there any months you would not be available to volunteer?

 
If you are volunteering to complete a requirement (School credit or mandatory community service) please list 2 references who are not relatives.
Name:   
Relationship: 
Address:
City:      
State:   
Zip:
Phone:  
   
Name:   
Relationship: 
Address:
City:      
State:
Zip:
Phone:  

   

1-866-DONORS1 (1-866-366-6771)
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