SOCFC Volunteer Application
Southern Oregon Child and Family Council Inc.
Full Name *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Primary Phone *
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Are you a current Head Start/Early Head Start family?
Volunteer Type *
Check all that apply.
Required
Students please provide information on your class/project.
Your answer
Which County is preferred? *
If you have a specific center you would like to volunteer at, please indicate.
Your answer
Schedule Preference *
Check all that apply.
Required
Age group preferred. *
Are you bilingual?
Volunteer Work Preferences *
Check all that apply.
Required
Please list any special skills or knowledge you would be interested in sharing:
Your answer
Please tell us what you hope to gain from volunteering with Head Start/Early Head Start:
Your answer
Signature *
Your answer
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