Potential Volunteer Form

required fields are marked with a *
* Name:		Email:
* Address:		* City:
* State:		* Zip:
* Home Phone:		Work Phone:

Do you have transportation? Yes No
Are you over 18 years of age? Yes No
I am interested in becoming a volunteer at Christa House in one of the following areas:
	Care Companion		Laundry
	Buddy		Maintenance
	Pastoral Companion		Office Support
	Holistic care		Receptionist
	Cook / Assistant		Arts & Crafts
	Driver		Creative Writers
	Fund Raising		Decorating
	Gardener		Make-A-Wish
	Intercessory Prayer		Musician
	Housekeeping
As a volunteer for Christa House, we ask that you attend a 2-hour orientation meeting followed by a full day of training.