Volunteer Application


To volunteer your time with My Friends Care, please fill out the form below and then click on the Submit button to automatically send the information to the My Friends Care office.  If you prefer to mail or fax this form, simply print this page, fill it out, and send it to our office.

* This information is required.
Name *
Street address *
City, State, Zip *
Daytime phone *
Evening phone *
FAX   
Email   

In case of an emergency while I am volunteering for My Friends Care, please contact
Name *
Daytime phone *
Evening phone *

How did you learn of My Friends Care? (Select one)
Friend   Family     Health care professional
Media   Website   Other 

Type of volunteer work preferred (Check all in which you are interested)
Office/clerical
Data entry
Special event
Development (fund-raising) — a Board committee
Public Relations (including a Speaker's Bureau) — a Board committee
Client Services — a Board committee
Technology — a Board committee

Days of the week and hours available and preferred

Additional comments