Please complete this application form if you are interested in becoming a Providence Child Center volunteer. Once you complete the form, click the submit button at the bottom.


Contact Information


Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Note that if you are under 16 years of age, you must be accompanied by an adult during your service.



Education/Employment

Please list your current or most recent employer, if applicable.



Availability

Please indicate the days and times you are usually available to volunteer.



Emergency Contact

In the event of an emergency whom should we notify?



Email

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



References


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I Agree

Our first priority is the health and safety of our children. For this reason, we have a comprehensive system for on-boarding new volunteers that includes a State of Oregon (DHS) and Providence Health & System background check for volunteers 16 and older. Before you apply to volunteer, please confirm that you are able to:

*Meet the time commitment agreed upon between you and CMFC (Minimum of 8 hours/month for six months);

*Provide a Government issued ID & social security number;

*Complete a criminal background check, if 16 years of age or older;

*Maintain confidentiality and agree to our non-disclosure agreement;

*Participate in the orientation, interview, training and placement process.


I understand and agree that submitting this application form does not automatically register me as a Providence Child Center volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.