Mosaic Center Volunteer Interest Form - 2007
Name:
_______________________________________________________________________
Phone Number:
_______________________ Cell Number: _____________________________
Address:
______________________________ City/State/Zip: ___________________________
Today's date:______________ Email:
______________________________________________
____Prayer warrior team (need
email)
____Prayer warrior partner
for one mentor and participant
____Data entry (at center or
at home) ____ center ____home (scheduled worker)
____Community outreach
____Church outreach
____Youth or children's group
project leader for center
____Grant writing and
assistant for grant writing
____Fundraising committee
____Office Angels/answer
phone or office work (scheduled worker)
____Computer technical helper
____House Mom (scheduled
weekly)
____Lunch Coordinator team
member
____Mentor
____Mentor team
____Provide a meal scheduled
during classes
____Housework (scheduled
worker)
____Yard work (scheduled
worker)
____Teacher____Bible
Study____Computer____Life Skills class____Other __ (scheduled worker)
____Celebration committee
____Participant needs and
services
____Photographer for events
and during classes
____Publishing skills (assist
with newsletter)
____Maintenance and repair
(as needed)
____Writing skills for
stories about Mosaic and newsletter
____Calling team person (can
work from home)
____Volunteer team committee
____Spanish speaking
translator
____Volunteer for anything
needed
____Professional skill
______________________________________________
____Technical skill
_________________________________________________
____Other
_______________________________________________________
Time Availability Estimate:
______________________________________________
(This is just an estimate of
the time frame you can give. It will help us with scheduling. This can always
be revised.)
My regular work schedule is
___ Work full time ___ Work part
time ___ Work at home
My commitment can be ___ Mon.
___ Tues. ___ Wed. ___ Thurs. ___ Fri.
___Daily ___Weekly ___Monthly
Time ___2 hrs___4 hrs ___6 hrs
___ Would be willing to give
1 day (8 hrs) a month
___Would be willing to give 2
days (16 hrs) a month
___Work would be seasonal
according to family needs
Volunteer positions held: ____________________________________________________________________________________________________________________________________________
Other details or time
restraints, etc.: _________________________________________