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SCCAP Volunteer Information Form
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* Indicates required question
Group Project Contact Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Contact Phone Number
Your answer
Contact Email Address
Your answer
Please list any restrictions your group might have.
Your answer
In which program(s) is your group interested in volunteering?
*
Circles
Food Pantries
Homeless Shelters
Work Ready Employment Programs
Gleaning (picking fruits and vegies)
Clerical Administrative Work
Special Projects
Fund Raising
Other:
Required
In which county would you be interested in volunteering?
*
Adams County
Franklin County
Required
Please list your potential availability.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
9:00am - 12:00pm
12:00pm - 4:00pm
Evenings
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
9:00am - 12:00pm
12:00pm - 4:00pm
Evenings
Clear selection
How many hours are you expecting your volunteer project or activity to take?
Your answer
Emergency Contact Phone Number
Your answer
What kind of project is your group interested in doing?
Your answer
Will your group be supplying the needed supplies for the project?
Yes
No
Clear selection
If No, what items would you need SCCAP to supply?
Your answer
Submit
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