2210 Silver SE

Albuquerque, NM 87106 

(505) 296-3114

Email: info@clabq.org

Website: CLABQ.ORG

Volunteer Request Form

I am requesting a volunteer opportunity through Community Link’s Action Center. They need the following information as they help me. Thank you for your assistance in filling out this form.

  1. Full Name (Please Print):  ________________________________________________

  1. Nickname:_____________________________________________

  1. What restrictions exist to volunteering?

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Probation Office/Counselor Contact Name: _____________________________________________

Phone: ________________________________

Email: _______________________________________________

Signature: __________________________________        Date: ____________________________

1/10/2017   Version 1