Volunteer Application

Full Name

First NameLast Name

Birth Date

MonthDayYear

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail

Home Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

Preferred Phone

HomeCell

School

Grade2017-18

Facebook ID

Mother's Name

Mother's Cell Phone

Area CodePhone Number

Mother's Email

Father's Name

Father's Cell Phone

Area CodePhone Number

Father's Email

Reference Name

Relationship

Reference Phone

Area CodePhone Number

Reference E-mail

Emergency Contact Name

Emergency Contact Phone

Area CodePhone Number

Emergency Contact Cell Phone

Area CodePhone Number

Allergies

Medical Conditions

Please choose the programs for which you are interested in volunteering.

Complete program dates and times can be found on our 2017-18 Program Guide >> (Right click to open in new browser)

Friends at HomeDay and time set up on an individual basis

YesNo

Sunday CircleOne Sunday a month, 12:30 - 3:00 PM

YesNo

Bowling Buddies7 Mondays in Oct/Nov, 4:45 - 5:45 PM

YesNo

Art Circle3 Tuesdays in December, 4:45 - 5:45 PM

YesNo

Cooking Circle7 Tuesdays in Jan/Feb, 4:45 - 5:45 PM

YesNo

Dance and Movement3 Tuesdays in March

YesNo

Summer CampSun July 21 - Thursday, July 25, 2019

YesNo

Friends at Home - Day of WeekIf applicable, please tell us which day of the week you would like to do your home visits.

Volunteer PartnerIf applicable, please tell us the name of a friend you would like to volunteer with.

Do you drive or have rides?For Friends at Home visits and Events

YesNo

Preferred Contact MethodFor events and reminders. Please choose all that apply.

I understand that Community Service hours will be issued only for volunteering that is submitted on the Volunteer Hours form.

Signature

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)

Both 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

Date of Application

MonthDayYear

Personal Information

Parent's Information

Reference

Additional Information

Volunteer Interests

Code of Conduct & Consent Forms

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