Volunteer Form

If you are interested in volunteering, please complete the volunteer request form letting us know the opportunities you’re interested in.

Are you applying as an individual or group?

Individual Group

Group name

Applicant's name

Phone number

Street Address

City

State

Zip

Emergency Contact

Emergency Phone

Relationship

Do you have any limitations we should know about?

Yes No

Please explain.

How long would you or your group be willing to volunteer for?

Have you or anyone in your group been convicted of a crime in the last 7 years?

Yes No Not sure

Please explain. (A conviction will not automatically bar you from volunteering).

Have you or anyone in your group volunteered before?

Yes No

Please list where and what was done.

Dates available

Notable skills

Do you or anyone in your group possess certification/training for any of the above skills?

Yes No

Do you have access to a pick-up or van for hauling large donated items?

Yes No

Please check all volunteer jobs that you or your group are interested in doing.

House/yard upkeep (clearing, weeding, etc.) Clerical assistance (mail appeals, filing, organizing) Reception desk (answer phone/door, assist with guest registration/check-in) House operations (linen pick up/drop off, grocery shop, stock pantry) Meal support (cook a meal, bake, or otherwise provide food for guests) Support fundraisers/events (duties will vary)

Acknowledgement

I acknowledge that the preceding has been completely and accurately filled out to the best of my ability.

(269) 341-7811
[email protected]
828 S. Burdick St., Kalamazoo, MI 49001

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