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VOLUNTEER INFORMATION

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip Code: *

Telephone: *

Mobile Number: *

Email: *

Best Contact Method:

Telephone
Mobile Number
Email

EMERGENCY CONTACT

Emergency Contact Name:

Emergency Contact Phone:

OTHER INFORMATION

Education:

Employment Status:

Employer:

Does your employer have a volunteer program? If yes, please explain:

NO
YES

Are You Bilingual:

NO
YES

If Yes, what second language do you speak:

DEMOGRAPHIC INFORMATION

The following demographic information request is for CFC reporting purposes only and will be kept confidential. Any information you wish to provide is strictly on a voluntary basis.

Gender:

MALE
FEMALE

VOLUNTEER PREFERENCES

Preferred Volunteer Times:

Morning
Afternoons
Evening
Weekends (limited weekend opportunities)

(please check all that apply)

Preferred Days to Volunteer:

Preferred Volunteer Duties:

Preferred Areas to Volunteer:

Please indicate any volunteer experience that you have had previously:

VOLUNTEER RELEASE

I do understand in order to become a Community Family Centers Volunteer, I will submit to a background check, waive liability and consent to organizational related publicity release information.

We will review your interest and schedule you based on our needs and your availability. You will hear from our Volunteer Coordinator, Lucy Gonzalez, via phone or email within 48 hours. *

I agree to the above terms.

Security Code: *

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