Nmcdn.io
| | |Date Submitted: | |
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|First Name: | |MI: | |Last Name: | |
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|Home Address: | |Apt: | |
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|City: | |State: | |Zip: | |
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|Phone: | |Cell: | |E-mail: | |
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|Gender: | Male | Female |Birthday: |Month: | |Day: | |
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|Congregation/school: (if applicable) | |
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|Status: | Undergrad | Grad student | Employed | Retired | Not working |
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|Occupation/Major: | |
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|Employer/School: | |
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|Emergency Contact: |
|Name: | |Relationship to you: | |
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|Address: | |Phone: | |
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|Second Language(s)? | Spanish |Other: | |Level: | Basic | Conversational | Fluent |
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|Availability: (list days & times) |Weekdays : | |times: | |
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| |Weekday evenings: | |times: | | As needed: |
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|Check the appropriate time commitment box: 3 months 6 months 12 months |
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|Do you need community service hours? Yes No |
|If so, how many? |
|If yes, by what date do you need your hours completed? |
|Do you need your volunteer hours documented? Yes No |
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|Volunteer Interest: (please check areas of interest and/or skill set) | | |
| |Case Management (licensed social worker) | |Administration (often note writing, filing, or data entry) |
| |Resource Volunteer (food pantry, crisis intake) | |Job Coach (computer, resume, interview, internet skills) |
| |Fundraising Special Events | |Receptionist at an IFC facility (phone, filing, questions, etc.) |
| |Kitchen Group (prep/cook/serve as a group) | |Outdoor and yard work (monthly or less often) |
| |Kitchen (general help, meal monitor) | |Child care |
| |Food sorting (sorting and shelving) | |Other interests: |
| |Food pick up & delivery (must drive) | | |
|Applicant’s Signature: |Date: | Check to submit by |
| | |email |
For IFC Use only
Date attended IFC Orientation _______/_______/_______
Accepted ( If not, why? _____________________________________________________
Area Referred: _____________________________________________________________
Position/Days Scheduled: __________________________________Start :_____________
Rev May 2020
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VOLUNTEER APPLICATION
Thank You For Your Willingness To Serve
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