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Individual Volunteer Application

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Roseland Christian Ministries
10858 S. Michigan Ave. Chicago, IL 60628 ~ Phone: (773) 264- 5665 Fax: (773) 264-9442 ~ laura.tenclay@gmail.com
 
Individual Volunteer Application
 
Please fill out and return via mail, fax, or email. We will contact you as soon as we can confirm your visit. 
 
Contact Information:
 
Name: _____________________________________________ Email: ______________________________
 
Address: ____________________________________________ City, State, Zip: _______________________
 
Occupation: _______________          Church Attended: ____________________________________________
 
If currently in school, what school do you attend: _________________________________________________
 
If currently in school, are your volunteer hours for a specific class?  ( ) Yes   ( ) No
 
Age: ( ) Under 18    ( ) 18 +                         Gender: ( ) Male    ( ) Female
Phone Numbers:
1: _______________________________                  2: ________________________________
    ( ) cell   ( )home   ( )work                                             ( ) cell   ( )home   ( )work  
 
How did you hear about Roseland Christian Ministries? _______________________________________
 
Have you volunteered at Roseland Christian Ministries before?   ____ YES   ____ NO
If you have, what were there the approximate dates of your last visit? _________________
 
Volunteer Information:
 
How often are you looking to volunteer? ( ) daily   ( ) twice a week    ( ) weekly   (   ) bi-monthly ( ) monthly
 
Volunteer Participation Dates (Please give us your 1st, 2nd, and 3rd choice of available dates. Fill in as many as possible.):
 
Choice 1: ___________________    Choice 2: ___________________    Choice 3: ______________________
 
Do you have any particular request for a certain type of volunteer work? _________________________________________________________________________________________
_________________________________________________________________________________________
 
Do you have any construction, electric, plumbing, or painting skills? If so, explain. _________________________________________________________________________________________
______________________________________________________________________________
 
 
 
Please check the ministry areas you would be willing to participate in:
 ( ) Drop-in Center Food Prep and Distribution – Monday-Friday for Lunch or Dinner
 ( ) Tutoring at the Women’s and Children’s Shelter – Monday-Thursday at 3:30pm
 ( ) Game Night at the Women’s and Children’s Shelter- Mondays from 6:30-7:30
 ( ) Seminars and Mentoring on Life Skills for Women’s and Children’s Shelter- Monday-Friday (hours vary)
 ( ) Kid’s Club at Roseland Christian Reformed Church- Wednesday and Thursday from 5-7pm
 ( ) Sunday Morning Breakfast to Community at Roseland Christian Reformed Church- Sundays 8-10am
 ( ) Saturday Construction Days in Roseland- Fixing up homes in Roseland – Dates dependent on month
 ( ) Sorting and Lifting at the Thrift Store – Monday-Saturday (hours vary)
 ( ) Other: ______________________________________________________________________________
 
Are you able to bring some supplies once you know your assigned projects?   ____ Most Likely   ____ No
 
Are you able to provide financial help to cover the cost of the supplies for your assigned projects?
____ Yes    ____ No   If yes, approximately how much? _________ 
 
Are you donating any other supplies to the ministry? If so, please specify.   ( ) No   ( ) Yes ______________________________________________________________________________________
 
Please communicate any other information that will help us fit you properly into our volunteer network: ______
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
 
 
Please understand that by filling out this application you are agreeing that you will not be paid for your volunteer work at Roseland Christian Ministries. 
 
Once we have reviewed your application, we will contact you with where we need your help and the specifics of our volunteer program. 
 
We are looking forward to your participation at Roseland Christian Ministries. Our volunteer network is very important to us. We will do our best to communicate with you along the way about your time with us, but please realize that inner-city ministries run on three things: flexibility, patience, and lots of grace. We appreciate your help, time, and energy, and we are blessed that you have chosen to serve with us in the Roseland community. We will be praying for your time that it would be just as much a blessing to you as it is to us. 
 
Please make a copy of this application for your records, and then send this application to:
                                                                                   
Roseland Christian Ministries
                                                                                    Attn: Laura Ten Clay
                                                                                    10858 S. Michigan Avenue
                                                                                    Chicago, IL 60628
 
or send it via fax (773-264-9442).
                                                           
                                                                                                                        Blessings,
                                                                                                                        Laura Ten Clay
                                                                                                                        Volunteer Coordinator

Roseland Christian Ministries
10858 S. Michigan Ave.
Chicago, IL 60628
Phone: 773.264.5665
Fax: 773.264.9442
office@roselandchristianministries.org

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