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Friendly Visiting NY Volunteer Registration

(718) 449-5000 ext 2311
3001 West 37th Street
Email *
Password *
Confirm Password *
Your First Name *
Your Last Name *
Street Address *
City *
State *
Zip Code *
Cell Phone *
Home Phone
Preferred Method of communication *
Date of Birth *
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Current Employer / School *
Who is your immediate Supervisor / Boss / Teacher *
Please list two references, Please include their names and Phone number and your relationship to them. *
I would like to help out in other ways.
My Hobbies are *
My Educational Background is *
I am available to volunteer *
Required
I can speak *
Required
How much time are you willing/able to commit to your volunteer responsibilities? *
Please list any prior volunteer experience
Why are you interested in volunteering with CityMeals Friendly Visiting? *
How did you hear about CityMeals Friendly Visiting? *
Do you have any other input or feedback
Do you have any record of any arrests, criminal charges or convictions? *
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Profile Certification and Acknowledgement
By filling this form I confirm that to the best of my knowledge the above information is true and is submitted voluntarily. I understand that any false statement, misrepresentation or omission may cause my dismissal from volunteer services. This information may be used and disclosed for iVolunteer purposes and I realize as a volunteer I will not be paid for my services. Untitled Title
Date *
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Signature *
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