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