Yes, I want to Volunteer...

[FrontPage Save Results Component]
First Name
  
Last Name
  
Address
  
City
  
State
  
Zip Code
 
Telephone - Day
  
Telephone - Evening
 
Telephone - Cellular  
E-Mail Address
 

I can help LOCALLY with truck loading, administrative or other things as needed. Please check available day(s) and time(s) below.

Days Available:
  (LOCALLY)

 

 

 

 
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Times Available:
  (LOCALLY)

 

 

  

8AM - 10AM
10AM - 12noon
12noon - 2P
2P - 4P
4P - 6P
6P - 8P
Other: 

What particular skills can you offer?  (LOCALLY)

 

  
I can help ON LOCATION in disaster site  with areas in most need. (There in areas affected by hurricanes) Please check available day(s) and time(s) below.

Weeks Available:
  (ON LOCATION)
 


 

 
4 - 7 days
1 week
2 weeks
3 weeks
Other
 Are you comfortable in a camping environment where you must be self-reliant?  (ON LOCATION)   Yes
No
Or do you prefer to have housing of some kind provided?  (ON LOCATION)   Yes
No
What particular skills do you have?  (ON LOCATION)

 

  
Comments or Questions:

   

Home | Participating Churches | Donation Information | Relief Updates | Volunteer Opportunities | Contact Us

web contact: webmaster@cc-ob.org