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* 1. Thank you for your interest in volunteering at Community Reach Inc. We look forward to working with you.
Please complete this short questionnaire.
We will contact you shortly to discuss what volunteer opportunities are available and schedule you to meet with us for a tour of our agency and how we strive to help others in our community to improve their lives.

Have you ever volunteered before? If so, please tell us where, when, and would were your duties.

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* 2. What is your name?

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* 3. What is the address where you currently live?

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* 4. Please share your contact information with us

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* 5. Please tell us the name of your emergency contact and provide a contact phone number for them.

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* 6. Can you lift over 20 pounds?

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* 7. Have you been in contact with anyone that has tested positive for Covid in the past 10 days?

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* 8. We would like to utilize volunteers that can be at our agency on a consistent basis so that we can plan out our schedules for the agency.

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* 9. Have you ever been convicted of a crime? If yes, please describe in the “other” field below

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* 10. Do you have any of your security clearances such as state police, child abuse, or local school clearances. If so, please list them in the “other” field.

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* 11. Please list 2 references in the box below.
Please include their name, email address, and phone number.

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* 12. Please indicate which duties you are most interested in performing while volunteering at Community Reach Inc

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* 13. When would you like to start?

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* 14. Do you agree to daily temperature checks and to wear a mask at all times while volunteering?

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* 15. Do you agree not to share any of our client’s information and information pertaining to the agency and programs

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* 16. Do you agree to act in a professional matter and make decisions that are in the best interest of Community Reach Inc?

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* 17. Do you agree to sign in and sign out every day so that we can properly track our volunteer’s hours?

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* 18. Any donations that we receive are for the benefit of our clients. These items can not and will not be used for personal use by any of our staff and/or volunteers.

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* 19. Would you like to add your email address to our volunteer email group so that you can receive information from our staff or board members regarding any changes or important updates that pertain to Community Reach Inc.

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* 20. When volunteering at Community Reach, do you agree to clean up your work area or clean up any projects that you were working on prior to leaving for the day.

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* 21. Are you requesting to volunteer because you are in need of Community Service hours?
If so, please list the reason you were ordered to work Community Service hours in the “other” field.

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* 22. If you were ordered to work Community Service hours, please tell us the amount of hours that you were ordered to work and the date that these hours need to be completed.
For the protection of our staff, our volunteers, and our agency, we reserve the right to decline any requests for fulfilling Community Service hours depending on the reason Community Service hours were ordered and the needs we currently have at the agency.
We will not fulfill the need for your Community Service hours if the Community Service hours were ordered because of a crime involving a violent or sexual offense, theft, narcotics, or child abuse.



Please send a copy of your court documents that list the charges and the information regarding your Community Service hours to :
execdirector@commreach.org

Once these documents are reviewed and a decision is rendered, we will contact you with a decision regarding whether or not we can help you with your Community Service hours.

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