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VOLUNTEER APPLICATION
Contact Information
Name
*
First Name
Last Name
Email
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Best Phone for Contact
*
Are you over 18?
*
Yes
No
What volunteer role are you interested in? (Check all that apply)
Resident Care
Fundraising
Community Presentations
Clerical
Marketing/PR/Website
Grant Writing
House Cleaning
Shopper
Gardening/Lawn Care/Snow Plowing
General Maintenance
Other
What days are you available to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Varies
As Needed
What times are you available to volunteer?
7:30am-12noon
11:30am-4pm
3:30pm-8pm
7:30pm-11pm
11pm-7:30am (you will be working alone)
Varies
As Needed
Are you willing to undergo a criminal background check
*
Yes
No
What interested you in volunteering with Charlotte House?
What other information would you like to share?
When is the best time to contact you?