NSHSS Michael Segoviano Emergency Shelter Volunteer Application
Thank you for your interest in joining the fight against homelessness in Chicago! North Side Housing and Supportive Services is a not-for-profit agency that serves the homeless in Chicago. Our mission is to end homelessness in the lives of individuals by providing not only housing, but also the comprehensive supportive services that help them to stabilize and improve their lives. More information about the agency and our programs can be found at:
www.northsidehousing.org
If you are interested in volunteering to help prep and serve a meal at our men's shelter at 941 W Lawrence, Chicago IL 60640 please complete this form and Diveda Duplesis will follow up with you. If you need to get in touch with her with questions please do so via
dduplesis@northsidehousing.org
.
Meal shifts are either Breakfast (5:30-7:30AM) or Dinner (5:30-7:30PM). You must be 18 and over to volunteer and must be a group of 5 people or less. If you are a larger group you may contact Diveda Duplesis directly to inquire about volunteering opportunities. Please fill out this form in it's entirety and we look forward to partnering with you!
* Required
Email address
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Your email
Full Name
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Your answer
Email address
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Your answer
Phone Number
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Your answer
Address
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone Number
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Your answer
Emergency Contact Relationship
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Mother
Father
Spouse
Sibling
Other:
Are you at least 18 years old?
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Yes
No
How many people are volunteering?
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just myself
2
3
4
5
Other:
How often do you wish to volunteer?
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Weekly
Bi-weekly
Monthly
Bi-annually
Anually
Please choose all the days and times you're available to volunteer
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Breakfast 5:30AM-7:30AM
Dinner 5:30PM-7:30PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Breakfast 5:30AM-7:30AM
Dinner 5:30PM-7:30PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What date can you start volunteering?
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MM
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DD
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YYYY
Why are you interested in volunteering?
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Your answer
How did you hear about NSHSS?
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Your answer
Would you like to sign up for our Newsletter?
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Yes
No
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