City of Angels - Volunteer Profile

City of Angels NJ, Inc Prospective Volunteer Profile

We greatly appreciate your interest in serving as a City of Angels (COA) volunteer.
This application serves as a means for us to get to know you better.

Name: Date of Birth:

CONTACT INFO

Home Address:
Street: City: State: Zip:

Home phone: Cell phone:

Preferred method of contact (select one): Home Cell Email

Email address: How often do you check your email?

EMPLOYMENT

Current Employer: Position:

Employer Address:
Street: City: State: Zip:

AVAILABILITY

Please indicate the days and time periods that you are generally available to volunteer. You may provide
additional information regarding your availability in the space below.

	SUN.	MON.	TUES.	WED.	THURS.	FRI.	SAT.
Morning:
Afternoon:
Night:
Overnight:

Other:

VOLUNTEER AREAS (check areas of interest)

RockFest	Mentor	Treatment Placement
Counseling	Writing	Website
Clerical	Editing	Volunteer Coordination
Fundraising	Graphic Arts	Other:
Special Events	Interventions
Transportation	Family Support

Please include any other information you feel would be helpful: