Volunteer Application

This form can also be downloaded and filled out

First Name: Last Name:
First time volunteer? Yes No
Between 12 & 17 yrs. Old? No Yes (If yes, See Parental Consent Form) Click Here
 
Address: Is this a new address? Yes No
City:      State: Zip:
 
Email please:    Cell Phone:
Confirm Email: Home Phone:
 
Group Name: If you don't see your group here, please have your group-leader contact us at 248.618.7433 so your group can be added
 
Does your employer offer matching gifts? Yes No
Employer Name:

 

Skilled Trades
Carpentry Skilled Handy No Experience
Electrical Skilled Handy No Experience
Plumbing Skilled Handy No Experience
Heating Skilled Handy No Experience
Roofing Skilled Handy No Experience
Masonry Skilled Handy No Experience
Dry Wall Skilled Handy No Experience
Carpet Installer Skilled Handy No Experience
Vinyl Flooring Skilled Handy No Experience

 

Skills

Shirt Size
Medium Large Extra Large 2X
Train as House Captain? Other size:
Train as Site Coordinator? Donate $5 for your shirt?
Parking Coordinator I have a truck and am willing to pick up and deliver items?
Painting Please contact me; I want to become more involved?
Food Runner Available Sunday to complete job?
Yard Work (At the Assigned Home) I am interested in helping CIA get started in my community?
Rake –n- Run (Traveling Teams)
Rake –n- Run to the next house & so on!		 Sign me up to help with pre/post Work Day activities?
Notary Yes, I would like to help with admin duties and data input
Safety & First Aid    
 
YES, I’M WILLING TO WORK WHERE I AM NEEDED.
Clarkston area Detroit area Oxford area Pontiac area Troy area Waterford area