Volunteer Interest Form

Volunteer Interest Form

The first step to becoming a James Samaritan!
A James Samaritan is one who sees the needs of our children and families and responds. Together, we will mobilize and equip our community to meet the critical needs of foster children and youth in transition. We will create a culture in which our most invisible and vulnerable are supported and empowered.

We encourage the participation of volunteers who support our
mission and are willing to work as part of team. The information provided through this form will be kept confidential and will help us determine the
most appropriate volunteer opportunity for you. Thank you!
Name

PrefixFirst NameLast NameSuffix
Birth Date

MonthDayYear
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you attend a local church?

Other
If Yes, which one?
Educational Background
Occupation
Which volunteer opportunities interest you? Check all that apply.
Do you have any volunteer experience? If yes, please describe.

0/100
How did you hear about James Samaritan?
What motivated you to inquire about volunteering with us?
Select the days you are typically available
From

:HourMinutesAM/PM Option
To

:HourMinutesAM/PM Option
Volunteer Orientation

Orientation is required before serving in our programs. Content covered includes our rules, policies and procedures, and programs. We also hope to get to know you better, educate you about the foster care system, and help you understand how you can get involved at James Samaritan.
Choose Orientation Date
Will you be bringing an adult guest with you to orientation?
Do you have any food allergies

Other
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Volunteer Interest Form

Volunteer Orientation