Volunteer Form - Children's Home Society

YOUR NAME

*First:

Middle:

*Last:

Preferred:

*Street Address:

*City:

*State:

*Zip:

CONTACT INFORMATION

Home Phone:

Work Phone:

Other Phone:

*Email:

Birthdate:

How did you hear about the Children's Home?

Are you employed?
Yes No

If yes, may we contact you at work?
Yes No

Are you a student?
Yes No

If so, what school?

Employer:

Supervisor:

Job Title:

Nature of Work:

What special skills, talents or abilities would you like to share with the Children's Home Society of Idaho?

*I understand that any information that is given to me, or seen while I volunteer with the Children's Home Society of Idaho, is considered private & confidential. My information will also be kept confidential.