3905 Lorraine Path, St. Joseph, MI 49085 (269) 428-1111

VOLUNTEER

General Information:
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email*
Phone #
Birthday
Month
Day
Year
Emergency Contact:
Name
Home Phone
Cell Phone
Work Phone
Education:
Highest Level Of Education
Please choose
Experience, skills, interests & availability:
When Are You Available? (List all days/times)
What Type Of Volunteer Work Do You Want To Do?
- Activities Assistant
- Art Assistant
- Bistro
- Book & Resource Cart
- Organizational/Administrative Assistant
- Performer: Music, Dance, Theatre, etc.
- Rehab Volunteer
- Visiting Volunteer
Skills/Abilities (music, languages, computers, ect.)
How Long Do You Plan To Volunteer?
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