Volunteer Application
Name:
Street:
City:
State: Zip Code:
Do you have transportation? Yes No
Age Group: 16-17 30-64
18-24 65 and over
25-29
Are you employed? Yes No
Student: Yes No
Grade:
School:
Where did you hear about ICHF Council for
Homeless Families?
Have you ever volunteered? Yes No
If yes, please give a short description of what you
have done and why you enjoyed it:
How much time do you wish to commit to volunteering?
A Few Hours One Half Day
One Full Day
How frequently would you like to volunteer?
Daily
Weekly Monthly One Day Event
How long would you like to volunteer?
Short Term (3 Months or less)
Long Term (More than 3 Months)
Other
When are you available to volunteer?
Days Evenings
Week-ends
Areas of Interest:
Board of Trustees Shopping
Children Computers
Art / Design Public Speaking
Office Help
Music
Calling on Telephone
Please list three references:
Name Relation Phone
1.
2.
3.
Thank You
We will get back to you within a few days to discuss the volunteer possibilities that seem to best fit your skills and interest.

Thank you for your interest in volunteering.

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