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CCS Volunteer Application
City, State, Zip
Is this application for a JOBS PLUS/DHS Work Experience program?
Is this application for court-ordered community service?
At this time we are not considering applicants for court-ordered community service unless you have 40 hours or more to fulfill.
Are you currently receiving or have ever received CCS services?
If yes, please provide details.
When are you available? (check all that apply)
Saturday (Springfield only)
Where are you interested in volunteering?
Eugene (Open M-F 9-4)
Springfield (Open M-Sat 9-4)
Volunteer Opportunities (check all you are interested in)
Food Distribution (when the food pantry is open to clients)
Food Restocking/Organizing (Tues/Thurs when the food pantry is closed to clients)
Clothing Closet (sorting/stocking clothes and assisting clients)
Resource Center (putting together hygiene kits/organizing/filing)
G Street OASIS (outreach program for homeless families with children)
Special Events (as needed help with client/donor/fundraising events)
Administrative (data entry/making phone calls/other office tasks)
Graphic Design (experience with graphic/web design required)
Thurston Food Pantry (4th Saturday of every month at Wayside Church)
In an emergency, notify:
Please provide their name and phone number.
By writing my name below, I acknowledge that I am volunteering for Catholic Community Services of Lane County, Inc. (CCS). I agree to absolve and hold harmless CCS from and against any blame and liability for any injury, misadventure, harm, loss, inconvenience, or damage hereby suffered or sustained resulting from participation as a volunteer for CCS. I understand that information provided by clients and the content of discussions or other communications regarding clients and client information by CCS personnel are confidential and privileged. I understand that said information may not be divulged to any person outside of CCS without a court order. I promise not to divulge or otherwise make public such information whether obtained from clients or from CCS personnel.I give permission to use any photograph, video recording or audio recording of myself, obtained during volunteer activities, in CCS informational material and for CCS publicity, training and promotional purposes and without compensation from CCS. I read and understand the above.
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