Volunteer Application - Children's Home Association of Illinois

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Volunteer Application

Contact Information

Name:

Street Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Email Address:

How did you learn about Children's Home?

What, if anything, do you know about our agency?

What kind of time commitment were you considering?

Interests

Tell us in which areas you are interested in volunteering

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Person to Notify in Case of Emergency

Name:

Street Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Email Address:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

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