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Volunteer Questionnaire Form
For people who wish to volunteer for Sanctuary UCC's Medford Cares program.
Contact Information:
Name: *
Your answer
Phone Number: *
Your answer
Email: *
Your answer
Address: *
Your answer
Tell us about yourself:
What is your birthdate? *
MM
/
DD
/
YYYY
Tell us how much time you have available for volunteer activities (hours per week/ month). *
Your answer
Do you think that isolation is a problem in the Medford Community? *
Would you be willing to spend time with someone who feels isolated in the Medford Community? *
To help us make a better match for your volunteer interest, please select all of the activities which you have an interest in? *
Required
How do you identify spiritually/religiously?
Your answer
Do you have a vehicle that you would be willing to use if necessary? *
Which of these roles appeal to you? (Select all that apply) *
Required
Do you enjoy organizing people/ things? *
How did you hear about this program? *
When is best for you to do a quick training session? *
What is the best way for us to contact you? *
For Volunteers under age 21:
Please provide the following contact information regarding your parent/ guardian
Parent/ Guardian Name:
Your answer
Parent/ Guardian Phone:
Your answer
Parent/ Guardian Email:
Your answer
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