Volunteer Application – Flushing Christian Outreach Center

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Volunteer Application

Name

First Name

Last Name

Gender

Male

Female

Address

Phone

Name of Church (if attending)

Birthday mm/dd/yyyy

Level of education completed (grade or degree)

Are you 18 years or older? (If NO, include parent name and phone number.) *

Yes

If Minor Parent Name

Parent Phone

Race

PREVIOUS EMPLOYMENT:

Name of Employer

Dates of Employment

Type of Work (include position held)

Most volunteers serve between 2 and 4 hours on a routine weekly schedule.

FCOC Hours of Operation: MON-TUE-WED-FRI 10:00-2:00, THU 12:30-4:30.

NOTE: Clothing Center CLOSED on Fridays.

What day(s) of the week, and times are you available to volunteer with the Flushing Christian Outreach Center?

Do you have any physical or emotional limitations that may affect your activities and require special accommodations?

Yes

If YES, please explain:

Additional comments about your availability for volunteering and/or special skills you are blessed with:

If you are human, leave this field blank.