Fayetteville Urban Ministry - Emergency Assistance Volunteer Form

Emergency Asst. Volunteer Form

Date: (MM/DD/YYYY)
Name (first):	Name: (last)
Age:	Sex: Male Female
Email:	Address:
City:	State:
Zip:	Phone:
Have you ever volunteered before? Yes No
If yes, please list where:
What are you interested in: Sorting Clothes and Food Clothing Store Attendant Food Pantry Assistant Other

Date Form Completed: (MM/DD/YYYY)
Form Completed By:
*** DO NOT FILL IN PAST THIS LINE *** FOR FUM STAFF ONLY
Received:
By: