VOLUNTEER INTEREST FORM
Name
*
FIRST NAME
LAST NAME
Phone Number
*
-
Area Code
Phone Number
OK TO TEXT?
Yes
No
E-MAIL:
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
HOW DID YOU HEAR ABOUT VOLUNTEERING AT THE KC SHEPHERD'S CENTER?
Family/Friend
Facebook/Social Media
Local News
KCSC Employee
Other
AREAS OF INTEREST (Please select at least one item from the list below)
*
Packing Meals on Wheels / Door Greeter at location (9:45am - 12:30)
Meals on Wheels driver (routes take 1-2 hours and occur between the hours of 10:15 -12:15, Mon-Fri. The volunteer chooses the commitment level and frequency)
On-Call Meals on Wheels Driver ( fills in when needed)
Health and Wellness Education
Friendly Visitor
Phone Pal
KCSC Rakes
Medicare Counselor
Office/Administrative Support
Small Home Repairs for Clients
Adventures in Learning program
Outreach Events Ambassador
Other
Please share days and hours you are available to serve:
Submit
Should be Empty: