Christian Care

"Transforming Lives"

24 Hour Crisis Line 309-788-CARE
(2273)
Rescue Mission 309-786-5734
Domestic Violence Shelter 309-788-2272

Volunteer Form

Name

Date

Address

City

State

Zip

Telephone (home)

work

Other Contact (cell)

Email

Employer Name/Address

Work Experience

Special Skills, Interests, Hobbies

Church Affiliation (name/address)

Previous Volunteer Experience

Volunteer work preferred

shelter coverage
child care (in shelter)
client visitor
house care
meals
maintenance
yard work
clerical/mailings
crisis line
food pantry
Other

May we call you for immediate volunteer needs?

What hours and days/evenings are you available?

How did you hear about Christian Care?

Why would you like to volunteer at Christian Care?

References (non-relative) - Please provide name, address and phone number for each person:

Reference 1:

Reference 2:

Reference 3:

Please type your name to electronically sign this form