Volunteer Information

VOLUNTEER ENROLLMENT FORM

California Men's Colony (CMC)

- Inmate Mentor Leadership Program (ILTAG) -

* Required Fields

Contact Information

NOTE: If you are experiencing technical difficulties, please use a computer or tablet.

First Name

Last Name

Email (Please use your own email address)

Address

Address 2

City

State/Province

Zip/Postal Code

Cell Phone

Home Phone

Work Phone

Volunteer Information

If you are a new FTC Volunteer, please list any relevant training,
experience or qualifications such as: USM, counseling, volunteering,
experience with the incarcerated community, etc.

How did you learn about us? If a person, please provide name of individual.

Do you have metal in your body?

Ex: Pin in ankle, etc. (if so, please bring a doctor's note.)
Note: Fillings in teeth don't matter

Do you have any physical needs that require special arrangements?

If yes, please explain

Any Questions or Comments

My photo ID (e.g. Driver's License) that I will bring to the prison
is valid and has been submitted to FTC.
If we do not yet have your clearance information, please copy and paste this link:
http://weblink.donorperfect.com/SecurityClearance

Emergency Contact Information

If you are new to the project OR
if your contact info has changed,
please fill in this section

Name of your emergency contact person
Someone who is not a volunteer on the project

Their relationship to you

Their cell phone #

Their alternate phone #
(Ex: work, home)

If you are new to the project OR if your contact info has changed, please fill in this section

If you are new to the project OR
if your contact info has changed,
please fill in this section