Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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Emergency Contact *

First Name

Last Name

Emergency Contact Phone 1 *

(###)

###

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Volunteer Roles *

Please check all of the ways in which you are interested in helping.

Sorter - Thursdays 10am - 12pm

Greeter - Saturdays 10am - 12pm

Driver - 1-2 deliveries per month

I am not available for these openings, but please add me to the Volunteer Interest List for future opportunities.

Volunteer Agreement *

I certify that the above information is correct and I agree to abide by Circle of Hope’s volunteer guidelines and respect the clients with whom I work.