CHOR Confidential Volunteer Application Form

Contact Information

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Name

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Primary Phone

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Email

How did you hear about us?

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Availability

 MorningAfternoonEvening
Mon
Tue
Wed
Thu
Fri
Sat
Sun

What are you interested in?

Skills

Other Languages

Do you have any physical needs that require special arrangements?

Volunteer Checklist

Personal References (Name, Address, and Phone number)

Reference 1

Reference 1 - Phone #

Reference 1 - Address

Reference 2

Reference 2 - Phone #

Reference 2 - Address

Reference 3

Reference 3 - Phone #

Reference 3 - Address

*

Terms and Conditions

By check the box below, I certify that the information provided on this application is accurate.
About The Children's Home of Reading
“Caring for the needs of children and families in crisis and preparing them for success in life.”
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The Children's Home of Reading
1010 Centre Ave
Reading
PA
United States
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The Children's Home of Reading