Volunteer Application | Interfaith Community Outreach

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

When is the best time to contact you?*

Availability (Intake Volunteers only)

Interfaith Community Outreach Client hours are 10 a.m. to 2 p.m., Monday, Wednesday and Friday of each week.

Day / Time Preferences*

Monday(s) 10 a.m. until 2 p.m.
Wednesday(s) 10 a.m. until 2 p.m.
Friday(s) 10 a.m. until 2 p.m.
Office Help: Monday through Friday anytime between 8 a.m. and 5 p.m.

Frequency*

Every Week
Once a Week
Twice a Month
Three Times a Month

Other

(Please specify your specific availability)

Interests

In which areas are you interested in volunteering?*

Intake Volunteer
Data Entry/Office Asst.
Home Rehabilitation
Board Membership
Fundraising
Social Event Planning
Public Relations
Resource Gathering
Counseling

Other

(Please specify your specific area of interest)

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Are you Bi-Lingual?*

Yes
No

If so, what Language?

Please check all that applies:*

Carpentry
Moving (truck available)
Electrical
Plumbing
Yard (mowing, planting, etc.)
Office Skills
Computers

Other

(Please specify your specific gifts/talents)

Previous Volunteer Experience

Summarize your previous volunteer experience

Confidentiality Statement

As a member volunteer of the Interfaith Community Outreach I agree to adhere to the Code of Conduct and Confidentiality Pledge provided to me prior to serving in a volunteer in this organization.

Staff and volunteers agree not to reveal the identity or identifying details of ICO clients and partners to protect their safety and dignity. When in contact with other individuals and agencies that are providing support to our clients or programs of the Interfaith Community Outreach, Inc. information will be shared with express permission of the client unless it is a matter of eminent danger to the client or another individual.

Emergency Information

In case of emergency Contact information

Emergency Contact Name*

First Last

Emergency Contact Phone*

Agreement & Signature

By submitting this application, I fully understand the need for confidentiality.

Name*

First Last

Signature*

Date*

Contact Information

Availability (Intake Volunteers only)

Interests

Special Skills or Qualifications

Previous Volunteer Experience

Confidentiality Statement

Emergency Information

Agreement & Signature

Hours

Pages

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