Do you have experience with the recovery community either personally or in another capacity? In what capacity would you like to assist at the recovery center? Outreach Workshop facilitator Support group leader Special events organizer Front desk assistance Greeter Office maintenance Other– please specify Which days of the week are you available? Sunday Monday Tuesday Wednesday Thursday Friday Saturday What times of the day are you available? Mornings Afternoons Evenings Please tell us why this opportunity is a good fit for you Personal Information First Name Middle Initial Last Name Street Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Gender Contact Number Email Education and Employment History Highest level of education Current Employer Job Title Years of employment Address References Reference 1 Ref 1 Full Name Ref 1 Phone Number Ref 1 Relationship to Applicant Reference 2 Ref 2 Full Name Ref 2 Phone Number Ref 2 Relationship to Applicant Questions & Signature By clicking this box and typing your name… By clicking this box and typing your name below, you are electronically signing your application, certifying that the information you''ve provided is accurate, and provide permission to Center For Family Services to contact any schools, employers, or references. Do you have any questions that our staff can answer for you before beginning volunteering? Signature CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
