Volunteer

Name *

First

Last

Address *

City *

State *

Zip *

Phone Number *

Email *

What are you volunteering for? *

Events
Office
Cheep Boutique
Other Programs

Are you willing to provide references? (copy) *

Yes
No

Are you willing to have your name submitted for criminal background check *

Yes
No

Are you under the age of 18? If under the age of 18 a parent or guardian must acknowledge their consent. *

Yes
No

Employment Status *

Full-Time
Part-Time
Not Employed
Retired

Preferred Working Environment *

Service Preferences (check all that apply) *

As a volunteer, I understand that the information is learned or otherwise about clients of the Women's Resource Center is to be kept completely confidential. This not only includes specific information and using clients' name, but also sharing information that may implicate an individual. Please type your name.

I Agree to this Statement of Confidentiality *

Yes, I Agree

Today's Date *

Questions or Comments *

Volunteer

VOLUNTEER OPPORTUNITIES

VOLUNTEER AT THE CHEEP BOUTIQUE

Fill Out This Form to Request to Volunteer