(Check all that apply)

Monday (copy)

Tuesday

Wednesday

Thursday

Friday

Are there times or seasons when you cannot do volunteer work? *

Please explain:

What volunteer roles you are interested in? (Check all that apply) *

Reading Buddies- small group reading program for students in K & 1st grade
Literacy Tutoring for students in grades 1-3
Telefriends- Telephone Reassurance Program
SHIP Medicare Counseling
Outreach Awareness and Resources for Seniors (OARS)-assistant for workshops on healthy aging
In-Home Recreation - visit weekly with older adults in a home setting

References: (required for Literacy Tutoring and Telefriends programs)

Please provide two (2) personal references that are not related to you. Please advise your references that FCS will be contacting them.

Reference #1 Name *

First

Last

Reference #1 Phone

Reference #2 Name *

First

Last

Reference #2 Phone

What different skills do you bring to a volunteer role? (personal, job transferable) *

Please tell us about your current employment/past work history and/or volunteer experiences: *

Do you speak more than one language? *

Great! What language(s)?

How did you hear about us? *

Volunteer with FCS!