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Catholic Charities
525 Washington Street
Buffalo, NY 14203
716-856-4494
info@ccwny.org



*Name
*Email
Phone
Fax
Address
City
State
Zip
*Comments
Would you like to Volunteer? Yes
Do you own a car? Yes       No
Do you have a valid driver's license? Yes       No
Hobbies, Skills, Special Interest/Training:
List previous volunteer experience:
Other community affiliations:
If presently employed, occupation:
Current Employer:
Briefly explain responsibilities:
Can you be contacted at work? Yes       No
What type of volunteer work interests you? Food Pantry Worker
Work w/ Children's Groups
Friendly Visitor
Children's Day Care
Visitation Programs
Senior Day Care
Office Help
Assist with Disabled
Assist with Blind
How did you hear about our program?
Why do you wish to volunteer?
Are there any medical or other limitations on type of work you do?
If possible, please list the times you are available:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
 

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