Volunteer Contact Form

Name:

Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell/Other:

Fax:

Email:

Birthday:

Gender:

Occupation:

Company/School:

How did you hear about Break the Cycle?

Availability:


Sunday Morning:

8:30am – 12:30pm


Sunday Afternoon:

12:30pm – 5:30pm


Sunday Night:

5:30pm – 9:30pm


Monday Morning:

8:30am – 12:30pm


Monday Afternoon:

12:30pm – 5:30pm


Monday Night:

5:30pm – 9:30pm


Tuesday Morning:

8:30am – 12:30pm


Tuesday Afternoon:

12:30pm – 5:30pm


Tuesday Night:

5:30pm – 9:30pm


Wednesday Morning:

8:30am – 12:30pm


Wednesday Afternoon:

12:30pm – 5:30pm


Wednesday Night:

5:30pm – 9:30pm


Thursday Morning:

8:30am – 12:30pm


Thursday Afternoon:

12:30pm – 5:30pm


Thursday Night:

5:30pm – 9:30pm


Friday Morning:

8:30am – 12:30pm


Friday Afternoon:

12:30pm – 5:30pm


Friday Night:

5:30pm – 9:30pm


Saturday Morning:

8:30am – 12:30pm


Saturday Afternoon:

12:30pm – 5:30pm


Saturday Night:

5:30pm – 9:30pm

Skills:

Event:


  • Food Service

  • Fundraising at Public Events

  • Party Host/Hostess

  • Heavy Lifting

  • Kitchen Administration

  • Moving Assistance

  • Photography

  • Setup/Cleanup

Interests:


  • Board/Commitee Member

  • Fundraising

  • Helpline

  • Public Speaking

  • Teaching/Instruction

  • Internship

Office/Administration:


  • Computer Literacy

  • Data Entry/Word Processing

  • Filing

  • Friendly Telephoning

  • Literacy

  • Bulk Mailing

  • Program Management

  • Desktop Publishing

  • Receptionist/Telephone Answering

  • Research/Evaluation

  • Writing/Editing

Break the Cycle Reference:


  • Pro Bono Legal Aid

  • Child Abuse Services

  • Child Care

  • Crisis Intervention

  • Domestic Violence Services

  • Emergency Transportation

  • Law Enforcement

  • Legal Services

  • Mentoring Services

  • Parenting Services

  • Pregnancy Related Services

  • Sexual Assault Services

  • Abuse Support

  • Substance Abuse Support

  • Crime Victim/Witness Support

  • Support Group Facilitation

  • Suicide Prevention

  • Therapy

  • Prevention/Treatment

  • Tutoring

Ally:


  • Court Watching

  • Election

  • Lobbying

  • Youth Services

Special Skills:


  • Finance/Accounting

  • Basic Computer Skills

  • Computer/Internet Services

  • Computer Training

  • FInancial Planning

  • Graphic Design

  • Grant Development

  • Network Administration

  • Public Relations

  • Tax Preparation

  • Volunteer Recruitment/Coordination

  • Website Development

Language:


  • Arabic

  • Chinese

  • French

  • German

  • Italian

  • Japanese

  • Korean

  • Polish

  • Portuguese

  • Russian

  • Sign Language

  • Spanish

  • Tagalog

  • Vietnamese