Thank you for your interest in extending a generous hand and compassionate heart for those who are homeless in our community. The LaGrange - Troup County Homeless Coalition is again coordinating a Warming Center for those without shelter during the coldest winter nights. The past two years revealed a host of community members representing service providers, religious congregations, nonprofits, and social activist communities and local government who willingly stepped up to the plate to volunteer. Though we've made significant progress since the first Warming Center in 2014/2015 and now have a wonderful location, volunteers remain the heart of this benevolent effort. Question Title Applicant's / Volunteer's name: Question Title Address Street City State Zip Question Title Business/Group Affiliation: Question Title Phone 1: Question Title Phone 2: Question Title E-mail 1: Question Title E-mail 2: Question Title Qualifications Yes No Are you certified in Basic First Aid/CPR? Are you certified in Basic First Aid/CPR? Yes Are you certified in Basic First Aid/CPR? No Are you 18 years of age or older? Are you 18 years of age or older? Yes Are you 18 years of age or older? No Are you willing to attend an orientation meeting prior to volunteering on a service team? Are you willing to attend an orientation meeting prior to volunteering on a service team? Yes Are you willing to attend an orientation meeting prior to volunteering on a service team? No Other skills Question Title Please list any skills or volunteer/professional experience relevant to working with people (not a prerequisite)? 1. 2. 3. 4. Question Title Please indicate areas of interest (You may select as many as you like): Food & Hospitality Safety & Security Storage Resource & Support Guest Intake Anywhere Needed Question Title Please indicate the shift(s) you will most likely be available to work: Set-Up Team: 4:15 p.m. - 6:15 p.m. Intake and Registration: 4:30 p.m. - 7:30 p.m. Evening Kitchen: Dinner, announcements, bedding down 7:00 p.m. - 11:00 p.m. Overnight shift: 10:30 p.m. - 6:30 a.m. Morning Kitchen: Breakfast, announcements, morning routines 6:00 a.m. - 7:30 a.m. Laundry Team: 8:00 a.m. - 9:00 a.m. Remove bedding and take to contractual cleaners. I am flexible… Question Title Please list months and/or days you know you will NOT be available (from November 1 – March 1): 1 2 3 4 5 6 7 8 9 10 In order to ensure the safety of volunteers and those we serve we request that all volunteers complete a criminal history check. Print this 2 page form Criminal History Check After completing them, HAVE PAGE 1 NOTARIZED.You may scan and attached the completed, NOTARIZED forms to Mike Wilson at email@example.comCall Mike Wilson with further questions: 706-333-7973LaGrange Police Department may notarize the form. LaGrange Police DepartmentSgt. Marshall McCoy orCaptain Mike Pheil100 W Haralson St.LaGrange, GA 30241 Thank you for completing this application. Someone should be in touch with you soon.If you have questions regarding this or other efforts regarding Homeless, please feel free to contact us.Mike Wilson: 706-333-7973; firstname.lastname@example.org Thank you for volunteering! Click here to exit.