office 503-731-7858 fax 503-731-7884 toll-free 1-800-791-2250
First name
Last Name
Birth Date
Address
City
State
Zip Code
Day Time Phone Number
Best Time to Call Day Phone
Night Time Phone Number
Best Time to Call Night Phone
Cell Number
Best Time to Call Cell Phone
Weekend Number
Best Time to Call Weekend Number
Fax Number
Employment Indication Employed Self-employed Unemployed Semi-retired Retired Student
If Retired, year retired 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Current Occupation FT PT
Company Name
Nature of Business
Your Title/Position
Co. Address, City, State, Zip & Phone
Previous Occupation Info (title/position, nature of business)
Volunteering Yes No
Working With the Public Yes No
Would you be willing to work with visitors with disabilities? Yes No
If you have experience working with people with disabilities please explain (100 words max)
Our volunteers and visitors come from all walks of life. Are you willing to serve people of all nationalities, races, religions, beliefs, classes, disabilities, and sexual orientations? Yes No
What you would like to get out of becoming a Portland Greeter
Working list of Themes: Please check all areas where you have special knowledge or background.
Neighborhoods: Please check all areas where you have special knowledge or background.
Do you have any other special knowledge or background in other interests that would be of interest to visitors? (500 word max)
Description of additional skills or education that would be relevant to being a greeter.
Please list any physical limitations or conditions which we need to know about and/or accommodate.
Allergies we should know about: (peanuts, penicillin, bee stings, etc.)
Are you fluent in English? Yes No
Are you fluent in any other language(s)?
How did you find out about Portland Greeter?
Do you have a friend or relative who would be interested in participating as a Portland Greeter?
Cell Phone Number
Email
