Make a Difference With CHiP

Make a Difference With CHiP

Your time, compassion, and willingness to serve can bring hope to someone in need.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Availability - Days you are available

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Times you are available

MorningsAfternoonsEvenings
How often would you like to volunteer?

WeeklyTwice per monthMonthlyOccasionally/As needed
Areas of Interest

Food distribution / Meal ServiceClothing SupportTransportation AssistanceJob Search SupportMentoringLife Skills CoachingReentry SupportAdmin/Office HelpCleaning/OrganizingEvents & OutreachWherever Needed Most
Skills & Experience
Please list any helpful skills, experience, or certifications (optional).
Background Information
Are you willing to complete a volunteer orientation?

YesNo
Are you willing to complete a background check if required?

YesNo
Do you have any physical limitations we should be aware of?

NoYesPlease describe your limitations.
Emergency Contact
Phone Number
Relationship
Why do you want to volunteer with CHiP?*
“I confirm the information provided is accurate and I agree to follow CHiP’s Volunteer Expectations and Code of Conduct.”
Should be Empty:

Background Information