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VOLUNTEER APPLICATION
Volunteer Application – Housing
Kelli Holleman
2023-02-23T08:46:00-05:00
Welcome! We are blessed by the amount of community support that we receive. On any given month, we have more than 250 active volunteers, who are the heart of this ministry. Whatever your skills and time constraints are, we welcome your commitment to making a difference by donating your time.
Volunteer Information
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact #
*
Date of Birth
*
MM slash DD slash YYYY
Emergency Contact Information
Name
*
First
Last
Contact #
*
More About You
Have you been convicted of a crime within the last 10 years?
*
Yes
No
If yes, please explain.
Have you volunteered at CCM in the past?
*
Yes
No
If so, when did you last volunteer (date/project)?
How did you learn about CCM?
*
CCM Website
Friend/Family Member
Social Media
CCM Event
Other
Please check any areas of interest:
*
Meal Dropoff
Childcare
Projects
Donations
Event sponsorship or event volunteer
Resident peer support
Course teacher
Tutoring children
What special skills or interests do you wish to utilize as a CCM volunteer?
Would you be willing to submit to a background check?
*
Yes
No
Comments
This field is for validation purposes and should be left unchanged.
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