Name:

Address:

City:     State:   Zip:

Home phone #:   Alternate phone #:

Days Available:              Times Available:

Sunday                     

Monday                    

Tuesday                   

Wednesday              

Thursday                  

Friday                       

Saturday                      

Why do you want to volunteer for HOPE Family Services?

Have you ever received assistance from HOPE Family Services? (Answering "yes" does

not preclude you from becoming a volunteer)  Yes      No

Do you know anyone who has received services from HOPE?  Yes      No

If "yes", please explain

What do you consider your strengths

What do you consider your weaknesses?

Are you at least 21 years of age?  Yes  No

Are you able to complete 24 hours of classroom training? Yes  No

Are you willing to sign a six month commitment to HOPE? Yes  No

Are you willing to sign a confidentiality agreement?           Yes  No

Are you willing to adhere to our policies and procedures? Yes  No

Area of interest:

                    Shelter         The HOPE Chest

                    Office            Fundraising

                    Hotline          Public Speaking

Please mail completed form to:  HOPE Family Services

                                                   P.O. Box 1624

                                                   Bradenton, FL 34206