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
* Required
Email address
*
Your email
Name: Last - First - Middle Initial
*
Your answer
Birth-date
*
MM
/
DD
/
YYYY
Gender
Female
Male
Clear selection
Address, Street City, State, Zipcode
*
Your answer
Phone #'s: Home & Cell
*
Your answer
Occupation
Your answer
Are you a veteran
Yes
No
Clear selection
What areas of volunteering are your interested in?
Transportation
Shopping and errand running
Assisting with paperwork - mail
Friendly phone calls - visits
Respite visits
Clerical Office assistance
HELP desk (Tuesday & Thursday afternoons)
Special events - projects
Other:
Previous Volunteer Experience
Your answer
What special skills are you able to contribute as a volunteer?
Your answer
How far are you willing to drive?
Reasonable limit
Within a 30-50 mile radius IN Ozauakee County
Other:
Are you willing to drive outside of Ozaukee County?
Yes
No
Occasionally
Clear selection
What is your general availability
Please share with us your general availability. Check all that apply or add other options.
Monday - Friday 8am -4pm
Monday - Friday Noon-4pm
Monday - Friday after 4pm
I would be available on a Saturday morning - early afternoon.
Other:
References
Please Provide the name and contact information for 2 references
Your answer
How did you learn about Interfaith Caregivers?
Local Newspaper
Friend
Interfaith Van
Val Pak
Outreach
Other:
Questions - Comments
Your answer
Send me a copy of my responses.
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