2301 South 15 Street, Omaha, NE 68108 (402) 341-1305
Name __________________________________________________ Address ________________________________ City, State ZIP __________________________________ Home Phone ____________________ Work Phone ____________________ E-Mail ____________________ Place of employment (occupation) __________________________________________________________ Church attending ____________________________________ Pastor ______________________________ Office Assistance Special Events ( ) Mailings ( ) Information Table at Event ( ) Data Entry ( ) Church or Organization Contact ( ) Cleaning ( ) Speaking Engagements ( ) Making Phone Calls ( ) Fundraising ( ) Sort and Inventory Donations ( ) Be Involved in WCCH Auxiliary Resident Assistance Note: Some positions or activities require that you complete some basic training and or authorize a background check. ( ) Overnight Volunteer ( ) Transportation ( ) Peer Counseling ( ) Mentoring 0 Testimonial presentation 0 Teaching Life Skills ( ) Prepare & demonstrate a meal preparation ( ) Teach a hobby or craft Home Maintenance Provide Special Services ( ) Indoor (handyman, spring cleaning) ( ) Grant Writing ( ) Outdoor (lawn care, etc.) ( ) Other Spiritual Support ( ) Pray for Women’s Care Center residents, staff and Board members. Weekend Volunteer ( ) 8:00A.M. Saturday to 8:00A.M. Sunday ( ) 8:00A.M. Sunday to 8:00A.M. Monday Additional Information On the another paper, briefly describe your skills, spiritual gifts, talents or personal interests. Please comment on any previous volunteer experience and include the organization name and service provided. Please list two references that we may contact.