CUMAC Volunteer Application
Due to a high volume of applications, we may not be able to respond immediately. Please feel free to call or email to check on the status of your application: volunteer@cumacecho.org, 973-742-5518 ext. 13.
Date of Birth: *
mm/dd/yyyy
Your answer
VOLUNTEER CONTACT INFORMATION
Name: *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Home Phone: *
Your answer
Cell Phone: *
Your answer
E-mail: *
Your answer
SCHEDULE INFORMATION
Are you interested in volunteering: *
Required
What days would you like to volunteer? *
Required
In which area are you most interested in volunteering? *
Required
Why do you want to volunteer at CUMAC? What do you hope to gain from the experience? *
Your answer
COMMUNITY SERVICE REQUIREMENT
Are you required to do community service? *
If not, continue to next section.
If so, are your hours court ordered?
If so, how many hours?
Your answer
What date must the hours be completed by?
mm/dd/yyyy
Your answer
INTERESTS AND EXPERIENCE
Relevant work or volunteer positions:
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Education or training:
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Additional skills/experience:
Check all that apply.
By signing I state that I have read and agree to the CUMAC/ECHO Volunteer Guidelines. *
Please print full name below as signature.
Your answer
Date: *
Your answer
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