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Helping Hands Volunteer Application
Volunteer Application
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* Indicates required question
For which location are you applying?
*
Canton
Chillicothe
Peoria Heights
Pontiac
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Email
*
Your answer
Phone Number
*
*preferably one that can receive text messages
Your answer
Preferred Method of Contact
*
Text
Email
Phone
Emergency Contact (Name & Phone Number)
*
Your answer
Available Days & Times (Mark All That Apply)
9:30-11:30
11:30-1:30
1:30-3:30
3:30-5:15
Tuesday
Wednesday
Thursday
Friday
Saturday
9:30-11:30
11:30-1:30
1:30-3:30
3:30-5:15
Tuesday
Wednesday
Thursday
Friday
Saturday
Please tell us a bit about yourself. (work, hobbies, volunteer experience)
*
Your answer
Do you have any limitations we should be aware of? (This will help us place you in an area of service suitable to you.)
*
Your answer
Are you volunteering to fulfill a community
service hours requirement?
*
Yes
No
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