Volunteer Application
Please note this application is general information, there will be some follow-up information needed in order to do background checks. Interfaith Caregivers Ozaukee County will collect that information in person when new volunteers come in for training.
If you have any questions, please contact us at the below contact information. We look forward to working with you as we continue to serve seniors in Ozaukee County.

885 Badger Circle, Grafton WI 53024
(262) 376-5362
www.interfaithozaukee.org
Info@interfaithozaukee.org
Email address *
Name: Last - First - Middle Initial *
Birth-date *
MM
/
DD
/
YYYY
Gender
Clear selection
Address, Street City, State, Zipcode *
Phone #'s: Home & Cell *
Occupation
Are you a veteran
Clear selection
What areas of volunteering are your interested in?
Previous Volunteer Experience
What special skills are you able to contribute as a volunteer?
How far are you willing to drive?
Are you willing to drive outside of Ozaukee County?
Clear selection
What is your general availability
Please share with us your general availability. Check all that apply or add other options.
References
Please Provide the name and contact information for 2 references
How did you learn about Interfaith Caregivers?
Questions - Comments
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