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Volunteer Application

Volunteer Application

Personal Info

Volunteer's Info    


Birth Date

/ /
Month Day Year






Phone Number

Zip     Email
    Cell Phone
Parent's Info      

Father's Name


Cell Phone
Mother's Name
Cell Phone


Please provide one reference who is not a family member.
Reference Name Phone Number  
Relationship Email

I understand that Community Service hours will be issued only for volunteering that is submitted on the Volunteer Hours form.
Please type your Signature:
Additional Info

Medical Info  

Emergency Contact Name
(other than parent)



Please list any allergies
Please list any medical conditions that we should be aware of
Volunteer Interests

Programs: Choose all programs for which you would like to volunteer  

Friends at Home Info: Time & Day of the Week set up on an individual basis

Sunday Circle Info: One Sunday a Month 12:30-3:00 PM See Program Guide for dates
Holiday Circle Info: Seasonal, See program Guide for Dates & Locations
Bowling Buddies Info: 6 Mondays, September 12, 19, 26 November 14, 21, 28 4:45 - 5:45 PM
Cooking Circle Info: 6 Tuesday, January 17 -  February 21 4:45 - 5:45 PM
Art Circle   Info: 3 Tuesdays, March 14-28  4:45 - 5:45 PM

If you chose Friends at Home, which day of the week is the best for you to do your visit?

Do you have a friend you would like to volunteer with? Yes No
If yes, name of friend:
Do you drive or have rides available for house visits and events? Yes No

How would you prefer to be contacted about events and reminders? Choose all that apply
Facebook Email Cell Phone Text House Phone
Code of Conduct & Consent Forms

In order to volunteer for The Friendship Circle, the Code of Conduct and Safety Waiver must be downloaded and printed, read completely and signed.

If you are under 18 years of age, a parent or guardian must sign this form as well.
Download Code of Conduct and Safety Agreement HERE. (Right click to open in new browser)
Each of these must be printed and signed. You may bring them to the Volunteer Kickoff or
mail them to the Friendship Circle office at 2728 King Rd, Toledo OH 43617

Then, return to this page to sign that you have read and signed the above agreements.
I have read the Code of Conduct and agree to all of its contents.

I have read the Safety Waiver and agree to all of its contents.

Volunteer Signature
If applicant is under 18 years of age, the signature of a parent/guardian is required.
Parent/Guardian Signature
Application Date