Circles Ottawa County Interest Form

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Thank you for your interest in becoming part of the Circles community. Whether as a participant or long-term volunteer, please remember that you will need to submit a paper background check and attend training.

Name *

First and last name

Phone number

Email Address

Please share why you are interested in becoming part of the Circles community.

Which position(s) are you interested in? *

Becoming a Circles participant/going through the Circles program (age 17+)

Becoming an Ally (for volunteers age 20+)

Being on a Resource Team

Sharing a Skill (tutoring, transportation, job skill prep, child care, etc)

Donating a Meal

Youth worker: Nursery

Youth worker: Age 3-5

Youth worker: Age 6-10

Youth worker: Age 10+

Other:

Required

What time commitment are you able to make towards Circles? *

18+ months

12 to 18 months

Six to twelve months

Six months or less

Availability

I am available Tuesday evenings

I am available Thursday evenings

Both

Other:

Do you have your own transportation to Circles? *

Yes

No (This is not a barrier! This helps us organize transportation solutions)

Maybe

If you would like to 'Share a Skill' what skills would you like to share with the Circles community (child/adult/family):

Volunteers: Please share any previous work or volunteer experience that might be relevant to your engagement with Circles:

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