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VOLUNTEEER 2010
OPENING DOORS OF HOPE

WELCOME!

Welcome to volunteering at Harbor House of Central Florida. As a volunteer, you are able to touch a life in ways that can’t be put in words. But most of all, volunteering at Harbor house is an experience that will remain in your heart forever. As the volunteer coordinator, I am grateful to see the dedication and hard work our volunteers bring to our agency on a daily basis. Thank you for your interest and I look forward to working with you.

Maribel Ojeda, Volunteer Coordinator

First Name : 
Last Name : 
Social Security Number : 
Address : 
City : 
State : 
Zip : 
Phone Number : 
Work Phone : 
Fax : 
Email Address : 
Place of Employment : 
Position/Occupation : 
Please describe any formal domestic violence training experience.
List any employment and/or volunteer work which may be helpful in your work with us.
What is your experience in working with persons of diverse ethnic backgrounds, race, lifestyle or age? * : 
How did you hear about Harbor House Programs?
Can you make a commitment of 30 hours of training?
 yes  no
Please indicate the days you are available to volunteer (check all that apply) : 
 Sunday  Monday  Tuesday  Wednesday  Thursday  Friday  Saturday
Please indicate the time of day you are available to volunteer (check all that apply) : 
 Early Morning  Late Morning  Midday  Afternoon
What kind of volunteering do you most enjoy? (Check all that apply) : 
 Working directly with a staff person as an assistant
 Helping around the office in general administrative duties
 training or an individual project
 Working occasionally on group projects
 Providing service to several clients
 Doing public speaking
 Fundraising
 No preference
Check the top three Harbor House volunteer positions in which you are most interested : 
 Support Group Facilitator  Teens Ending Abusive Relationships (presentations to high school students)
 Shelter coverage/ crisis phone counseling  Outreach Advocate
 Fundraising  Child Care
 Clerical Work  Shelter Maintenance (painting, yard work, etc)
 Speakers Bureau  Court Advocate
 Event Host  
Are there any groups in which you would not feel comfortable working in?
What are your hobbies/interests?
What languages (including sign) do you speak?
I certify that the answers given by me to all questions on this application and any attachments are, to the best of my knowledge and belief, true and correct and that I have not knowingly withheld any pertinent facts or circumstances. I understand that any omission or misrepresentation of fact in this application may result in refusal or separation from volunteer service upon discovery thereof.
Today's Date :