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Volunteer Signup

Sumbit the form below or for more information about volunteering, call us anytime during normal hours of operation (304) 296-0221.

"*" indicates required fields

Name*

First Last

Email*

Phone

Address

Street Address Address Line 2 City State ZIP Code

Have you ever been convicted of a felony?*

Do not include minor traffic violations.

Yes

No

If yes, please provide details.

Are you currently under charges for any offenses?*

Yes

No

Are you currently on probation or parole?*

Yes

No

Skills & Interests*

Which days are you available?*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

How much time can you dedicate to volunteering in a week?

3 hours or less

3 to 5 hours

5 to 10 hours

10 to 15 hours

15 to 20 hours

20 hours or more

Which time of day suits you best?*

Morning 6am - 10am

Afternoon 10am - 2pm

Evening 2pm - 6pm

Night 6pm - 10pm

Do you have any previous volunteering experience?

Yes

No

Please add any additional comments or questions here.

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