Volunteer Interest Form

Thank you for your interest in volunteering at Central City Concern! Please provide some basic information below. The Volunteer Manager will be in touch with you.

Volunteer Position(s) Interested In

Availability

  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start
Finish

What is your experience in the area you would like to volunteer?

 

What experience would you like to gain from volunteering?

Personal Information

 

 Previous / Current CCC Involvement

Have you received services from a Central City Concern healthcare program (Old Town Clinic, Old Town Recovery Center, CCC Recovery Center, Community Engagement Program, Hooper Detoxification Center, etc.) in the past two years?
No       Yes
  

Have you lived in Central City Concern housing at any point in the past two years?
No       Yes
 

Have you received any other CCC services or enrolled in any other CCC programs in the past two years?
No       Yes

 

 Background Check

No       Yes

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