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Volunteer Opportunities

Thank You for your interest in Volunteering with

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Name: *
Address:
City: Postal Code:
Phone Number: *
E-Mail Address: *

Previous Volunteer Experience:


What Hobbies, Skills, and Special Interests Do You Have?

Please Select the Types of Volunteer Activities You Desire
(Check all that apply)
Visiting with individual
Friend/Companion with Individual
Driver
Taking Someone Shopping
Supporting On Recreational Activities
Teaching Domestic Skills
Supporting on Community Activities
Supporting at Community Pools
Tutoring In Literacy 		Committee Member
Office Activities
Assisting with Computers
Maintenance Activities (Grounds)
Maintenance Activities (Buildings)
Speaker/Public Relations
Vocational Aide
Job Coach at Individual's Work Site

Which Age Groups Would You Prefer To Work With?
Children
 Teens
 Adults
 Seniors

Which Days and Times would You Be Available?
Days &
Times
Mon.
 Tues.
 Wed.
 Thur.
Fri.
 Sat.
 Sun.
  

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