Volunteer Registration Form

Personal Info:

Name Last:   First

          Age:  

Address:

City:     Zip:

Home#  Cell#

E-mail:

Returning Volunteer:  Yes  No

Driver License: Yes   No

Transportation Needed: Yes   No

Name of School:

Parents Information

Mother's Name

Home #  Cell #

Address:

City:  Zip:

Father's Name

Home #  Cell #

Address:

City:  Zip:

 Volunteer Options

 One Visit per Week

 Bi-monthly (twice per month)

 Children's Circle (bi-annually)

Partners

 I would like to partner with:

 Please assign me a partner.

 Scheduling Concerns

Are there other extracurricular activities that will effect your volunteering availability (sports, clubs, etc)?

Availability

Please select the top three days that you are available for volunteering

First Choice:      Sunday Monday Tuesday Wednesday Thursday Friday  Time:   

Second Choice:  Sunday Monday Tuesday Wednesday Thursday Friday   Time:  

Third Choice:    Sunday Monday Tuesday Wednesday Thursday Friday   Time:  

 Confidentiality

 I agree to keep all information about our Circle Friend and their family confidential

 Comments/Questions

Please let us know if you have any comments or questions about Friendship Circle, our programs, or volunteering.