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Volunteer Interest Form

After you submit this form, you will need to create a Civic Champs account, which gives you access to our volunteer sign-ups. You can create an account via the Civic Champs app (iPhone or Google Play) or Civic Champs website. Once you create a Civic Champs account, you will be prompted to enter a verification code, which you'll receive via email. Enter that code and find a volunteer opportunity on our calendar!

Contact Information

Name

First Name

Last Name

Phone

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

What draws you to the Vina Moses Center mission and the work we do?

Please choose one

Community Service

Court Hours

Internship

Board Committee

Neither/Other

What volunteer role(s) interest you at Vina Moses Center?

*hint* look on the side bar to see volunteer job descriptions

Please describe any previous volunteer and/or paid work experience.

Hours/Days available:

Reference 1: Name/Contact number/Relationship

Reference 2- Name/Contact number/Relationship

Please Click (for internal use)

Volunteer

Limitations/Preferences/Anything else