Volunteer Application

 


To become a volunteer please complete the information below.

If you prefer to print this application and fill it out in pdf form Click here






Full name (First MI Last):

Address:

City:

State:

ZIP:

Contact Information:

e-mail Address:

Home Phone:

Work Phone:

Cell Phone:

Other Phone:

Date of Birth (mm/dd/yy):

Gender: Male Female

Current Occupation:

Status (Check all that apply):

Retired Student


How did you hear about the volunteer program?




Are you able to make the required committment to serve?

Yes
No

Explain:


How many hours per month are you able to volunteer?
Five hours or fewer
Between 5 and ten hours
More than ten hours


Will you be able to attend monthly meetings held on the 3rd Thursday?

Yes
No
Fluent in any language other than English (Please list)?



Availability, Interests, and Skills:


List any other community services organizations, social and clubs you have belonged to: (check the checkbox if presently active)




Briefly describe what led to your decision to apply to become a CAFY Volunteer. How do you expect to benefit from this volunteer experience?



Please provide 3 non-related references — Personal or Professional (for ex: teacher, friend, co-worker or employer)


Person 1:
Relationship:
Home #:
Work #:


Person 2:
Relationship:
Home #:
Work #:


Person 3:
Relationship:
Home #:
Work #:




Is there anything else you would like to tell us about yourself?



Please read and answer the following:



I agree
I do not agree, but would like more information

Produced by Community Advocates for Family & Youth.  The hosting of this website was made possible by the support by Office for Victims of Crime, U.S. Department of Justice.  Points of view in this document are those of the author and do not necessarily represent the official position or policies of the U. S. Department of Justice.