Project Kompass Volunteer Form

We encourage the participation of volunteers who support our
mission and are willing to contribute their time, experience, and skills. The information provided through this form will be kept confidential and will help us determine the most satisfying and appropriate volunteer opportunity for you.
Name

First NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background
Emergency Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
In which areas would you like to volunteer?
Are there specific areas or skills you would like to share? If yes, please describe.
Select your available days
From

Hour Minutes

AM/PM Option
To

Hour Minutes

AM/PM Option
Before volunteering with mom & baby, and at no cost to you, are you willing to submit a background check?
I understand and agree that I will have to review and sign a Volunteer Release & Waiver of Liability form, on an annual basis, and prior to any volunteer work or services performed.
Date

MonthDayYear
Date
Signature
Should be Empty: