Volunteer Interest Form
Thank you so much for your interest in volunteering with Friendship Community and/or the Friendship Heart Gallery & Studio! So that we may fully utilize your gifts and talents, please complete this brief questionnaire. 

For additional information, please call 717.656.2466, or email the Development Team at development@friendshipcommunity.net. 
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Date of Birth *
First Name *
Last Name *
Phone *
Email
Address *
Address line 2
City *
State *
Zip *
Best Way to Reach You *
Required
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. 
 
(Examples: 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.  
(Examples: 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 and address.
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?
How did you hear about Friendship Community? *
Hobbies, Interests and Skills *
Do you have experience with people with Intellectual Disabilities and Autism? *
If yes, please describe:
Who should we notify in case of an emergency? *
Please include full name, address and phone number.
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