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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
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