G RAND C ENTRAL N EIGHBORHOOD Social Services Corporation
212-883-0680 www.grandcentralneighborhood.org
120 East 32 nd Street New York, NY 10016
VOLUNTEER APPLICATION
Date:
Name:
Last
Middle
First
Present Address:
Street
City
State
Zip
Email:
Date of Birth:
Please check the opportunities you are interested in: Soup Kitchen: Other:
What is your availability: Lunch: 12:00pm – 1:30pm or Dinner 4:00pm – 6pm or Both This helps us understand your scheduled but does not guarantee that time until it is confirmed and scheduled with the Volunteer Coordinator.
Sunday
Monday
Tuesday
Wednesday Thursday
Friday
Saturday
D L
D
L
D L
D L
D L
D L
D L
What is the length of your services? Please Check One.
□Weekly
□Monthly
□Student-Based
□Temporary
Are you seeking court-mandated Community Services Hours:
□Yes
□No
In Case of Emergency Notify:
Name
Address
Phone No.
Please provide a reference Name
Relationship
Phone #
1.
I certify the information given above is true and complete to the best of my knowledge. I authorize GCN to contact the places and persons listed as references.
Signature:
Date:
When completed, please return this application to the Volunteer Coordinator. Thank you for your generosity.
Date Received:
Made with FlippingBook flipbook maker