Volunteer Application

To contact us about volunteering, please complete this form.
* Denotes required field

Your Name*:

Address:

Home/Cell Phone*:

Work/Alternate Phone:

Email Address*:

Yes

Are you 18 years of age or older?*

I am interested in being a:

Volunteer Phone Counselor

Board Member

Please describe any previous related experience you might have. Please include any paid or volunteer work you’ve done. If you have none, enter “none”.*

Please write a short statement about why you would like to volunteer at Community Crisis Services, Inc.*

Do you have any special skills that you might be interested in sharing? Please list them.

I agree that the information given is correct to the best of my knowledge and belief and does not knowingly contain any material misrepresentation of fact. I understand that any material misrepresentation of fact given by my shall be cause for rejection before appointment, or dismissal from Community Crisis Services, Inc. after appointment.*

I understand that by submitting this application it becomes a legal document representing a request for consideration as a volunteer candidate for Community Crisis Services, Inc.*