Child Development Center of St. Joseph

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Volunteer Application

Name
Date of Birth
Address
City
State
Zip
Telephone (day)
Telephone (evening)
Cell Phone
Best time to call
The center is open Monday through Friday, 6:00 AM to 6:00 PM. What days and times are you willing to commit to service?

Why are you interested in volunteering at the Center?

What skills, talents and abilities do you hope to share?

Volunteer Experiences Please list other volunteer services. If none, please list non-family personal references.
Organization
Length of service
Duties
Contact person (reference)
Phone

Organization
Length of service
Duties
Contact person (reference)
Phone

Organization
Length of service
Duties
Contact person (reference)
Phone
Emergency Contact
Name
Relationship
Telephone
Cell Phone
Name of primary care physician
Physician's Phone
Allergies

Beginning Volunteer Service Date

1600 W. Oklahoma Avenue , Milwaukee, WI 53215 | T 414.645.5337 | F 414.645.5329 | www.cdcsj.org