The Arc of Butler County
Volunteer Form

If you have an interest in serving as an Arc Volunteer, please complete the form below. Print and mail to the follow address.

The Arc of Butler County
Pullman Commerce Center
112 Holloywood Drive Suite 202
Butler PA 16001

Name:
Address:
Address 2:
City:
State:
Zip Code:
Home Phone:
Work Phone:
E-mail:

Are you a member of The Arc of Butler County?(Y/N)
Have you ever worked with individuals with disabilities?(Y/N)
In the text area below, please briefly explain why you desire to serve as a volunteer?