Volunteer Interest Form
Thank you so much for your interest in volunteering with Friendship Community! 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!
Date of Birth (mm/dd/yyyy) *
First Name *
Last Name *
Telephone (with area code) *
Mobile (with area code)
Email
Address *
Address line 2
City *
State *
Zip *
Best Way to Reach You *
Required
Best Time 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, address and telephone.
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 developmental disabilities? *
If so, explain:
Who should we notify in case of an emergency? *
Please include full name, address and telephone.
Submit
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