Community Outreach, Inc.
A service agency dedicated to helping people help themselves.
Services & Resources  
Online Application Form
 
Clinics
Therapeutic Childcare
  Emergency Shelter
  Families in Transition  
  Food Provided for Meals  
  Transitional Housing  
 
Case Management
Crisis Intervention
  Outpatient Mental Health  
  Treatment Programs  
Volunteer Application Form

If you would like to volunteer with Community Outreach, Inc. (COI), please complete and submit this form. You will be contacted in a few days. We may ask for additional information from you at that time.

Contact Information
Name  (required)
Address
Daytime Phone  (required)    work  home 
Cell Phone
E-mail  (required)
Date of Birth
Application for Volunteering    An Internship    Both

Education and Experience

Education and work experience (please describe current and most recent work experience):

Current Employer:

Level of education completed: 

Major:  

Volunteer experience (please list organizations for which you have volunteered and types of work you did):

Please list special skills, interests, or hobbies you would like to offer COI, and your proficiency level in each. For example: Spanish - fluent; computer programmer - novice.

Interests

What type of work would you enjoy doing? (check all that apply)

medical/dental clinic staff
telephone/typing/computer/misc. clerical
driving and deliveries  (Have truck or van?
preparing food packages for food bank

records management/database

computers/website

teaching/tutoring (Subject: )
translating and interpreting (Lang. and fluency )
cleaning or organizing/ general building maintenance

supply drives/external events

grant writing/fundraising or public relations

mailings

teaching or working with children
plumbing or electrical

gardening, arts, graphics

How did you learn about COI?

Whom can we thank for referring you to us?

Your Availability

When are you available? (Check all that apply)

Weekdays   Times?
Weekends   Times?

How often do you wish to volunteer? 

How long can you volunteer? 

 

Please list two personal or professional references who are not relatives.  (Name, Relation, Phone #, How long known.) (optional)

Any thing else you would like to tell us that will help us find an appropriate volunteer opportunity at Community Outreach.

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