Children's Creative Corner Volunteer Application

* Required Fields
Contact Information
* First Name 
* Last Name 
  Second Name 
  Address 
  City 
  State/Province 
  Zip/Postal Code 
  Home Phone 
  Work Phone 
* Email 


During which hours are you available for volunteer assignments?
  Weekday mornings 
  Weekday afternoons 
  Weekday evenings 
  Weekend mornings 
  Weekend afternoons 
  Weekend evenings 


Interests
  Tell us why you are interested in volunteering with Children's Creative Corner. 


Special Skills and Qualifications
  Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. 


Previous Volunteer Experience
  Summarize your previous volunteer experience. 


Person to Notify in Case of Emergency
* Emergency Contact Name 
  Street Address 
  City, State, Zip Code 
* Emergency Contact Phone 
  Email Address 


Agreement and Signature
* Full Name 
* By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. 
* Today's Date 



Privacy Policy:  We keep your personal information private and secure.  We do not sell, trade, or otherwise give your name and contact information to anyone.

Contact Us:  Over-the-Rhine Community Housing, 114 W. 14th Street, Cincinnati, OH 45202, 513-381-1171, kknipe@otrch.org
 

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