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* 1. Thank you for your interest in volunteering at Community Reach Inc.   We are looking for volunteers for Wednesday evenings, 3-6.
PLEASE NOTE:  We currently are not accepting volunteers needing court mandated community service hours.
We look forward to working with you.
Please complete this short questionnaire.

Have you ever volunteered before? If so, please tell us where, when, and would were your duties.

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* 2. What is your name?

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* 3. Please share the following information with us.

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* 4. Please tell us the name of your emergency contact and provide a contact phone number for them.

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* 5. Can you lift over 20 pounds?

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* 6. Have you ever been convicted of a crime? If yes, please describe in the “other” field below

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* 7. Do you have any of your security clearances such as state police, child abuse, or local school clearances. If so, please list them in the “other” field.

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* 8. Please list 2 references in the box below.
Please include their name, email address, and phone number.

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* 9. Please indicate which duties you are most interested in performing while volunteering at Community Reach Inc

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* 10. Please tell us about your availability.

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* 11. Do you agree not to share any of our client’s information and information pertaining to the agency and programs?

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* 12. Any donations that we receive are for the benefit of our clients. These items can not and will not be used for personal use by any of our staff and/or volunteers.

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* 13. Would you like to add your email address to our volunteer email group so that you can receive information from our staff or board members regarding any changes or important updates that pertain to Community Reach Inc.

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* 14. Are you requesting to volunteer because you are in need of Community Service hours?
If so, please list the reason you were ordered to work Community Service hours in the “other” field.

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* 15. If you were ordered to work Community Service hours, please tell us the amount of hours that you were ordered to work and the date that these hours need to be completed.
For the protection of our staff, our volunteers, and our agency, we reserve the right to decline any requests for fulfilling Community Service hours depending on the reason Community Service hours were ordered and the needs we currently have at the agency.
We will not fulfill the need for your Community Service hours if the Community Service hours were ordered because of a crime involving a violent or sexual offense, theft, narcotics, or child abuse.



Please send a copy of your court documents that list the charges and the information regarding your Community Service hours to :
execdirector@commreach.org

Once these documents are reviewed and a decision is rendered, we will contact you with a decision regarding whether or not we can help you with your Community Service hours.

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