Volunteer Interest Form
Thank you so much for your interest in volunteering with Friendship Community and/or the Friendship Heart Gallery & Studio! So that we may fully utilize your gifts and talents, please complete this brief questionnaire. For additional information, please call 717.656.2466, ext. 1165 or email Phil Horning at volunteercoordinator@friendshipcommunity.net. Thank you!
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Please Note: Friendship Community is a Christian ministry cultivating capabilities of Individuals with Intellectual Disability and Autism. As you consider involvement with our organization, we want you to be aware of our Christian-based approach. This means the teachings of Christ serve as the foundation for our philosophy of care, as well as, our personal lifestyles. We encourage all of our Team Members and Individuals to pursue a relationship with Christ and therefore a Christian lifestyle. Please consider if you can support our approach and commitment to serving the Individuals at Friendship Community.
Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
First Name *
Last Name *
Phone *
Email
Address *
Address line 2
City *
State *
Zip *
Best Way to Reach You *
Required
Church Affiliation or Congregation
Have you lived outside the state of Pennsylvania within the past 3 years? *
If so, please list locations and dates.
References #1 *
Please list full name, address and phone number for 2 personal references (not including relatives) that we may contact.  (Some possibilities might be: former supervisor, coworker, pastor, teacher, mentor, organizations you've volunteered for, neighbor, friend.)
Reference #2 *
Please list full name, address and phone number for 2 personal references (not including relatives) that we may contact.  (Some possibilities might be: former supervisor, coworker, pastor, teacher, mentor, organizations you've volunteered for, neighbor, friend.)
Occupation or Place of Employment *
If a student, please list school name and address.
Education Completed *
Course of Study?
I prefer to volunteer in the: *
Required
I prefer to volunteer on: *
Required
Which of these volunteer areas interest you most?  (check all that apply) *
Required
Volunteer Interest Time Frame? *
Are you thinking of volunteering in an ongoing way, or a one-time event, or a certain number of volunteer hours ... what are your thoughts?
How did you hear about Friendship Community? *
Hobbies, Interests and Skills *
Do you have experience with people with intellectual disabilities? *
If so, please describe:
Who should we notify in case of an emergency? *
Please include full name, relationship and phone #.
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