Group Volunteer Interest Form
Group Name
*
Group Type
*
Please Select
Business
Church
Civic/Service
Youth
Other
Contact
*
First Name
Last Name
Mobile Number
*
Format: (000) 000-0000.
Email
*
Program/Interest (select all that apply)
*
Community Clinic
Resale Operations
Seniors
Seasonal Programs (Christmas Cottage, Feed Our Kids, Back to School)
Other
Use Ctrl to select multiple options
Desired Service Date(s)
*
Desired Service Time(s)
*
We recommend 2-3 hour shifts.
# Anticipated Volunteers
*
Will your group have minors?
*
No
Yes
Please provide additional information on your request.
Submit
Should be Empty: