Welcome to Adult Guardianship Services

To Volunteer, print and fill out the volunteer application form below and either fax it to us at 216-696-1153, Attention Volunteer Recruiter or mail it to Adult Guardianship Services, Volunteer Department, 1468 W. 25th Street, Suite 300, Cleveland, Ohio 44113

Name:
Address:

Employer
Business Address:
Telephone:	(Home) (Work)
Fax: Email Address:
Birth Date: (for recognition purposes only)
Preferred Way to be Contacted: Phone Fax Email
Social Security Number:
Attorney Registration Number:
Law School Attended: Graduation Year:
Area(s) of Practice:
OTHER VOLUNTEER POSITIONS
Organization:
Position:		From/To: (dates)
Organization:
Position:		From/To: (dates)
Please Return To: Linda J. Proffitt, Program Director Adult Guardianship Services 1468 W. 25th Street, Suite 300 Cleveland, Ohio 44113 216.696.1132 ext. 141