Volunteer Information

Volunteer Form

The mission of Medina Creative Housing is to develop quality housing, services and supports to enable individuals with disabilities to live their lives with dignity and opportunity.

Volunteer time and talents is an asset to Medina Creative Housing. There are many ways you can make a difference for individuals with disabilities. You may wish to work directly with the individuals we serve or you may get involved with other important aspects of our organization’s operations.

* Required Fields

Contact Information

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

How do you prefer to be contacted?

Date of Birth
(mm/dd/yyyy)

Person to notify in case of an emergency

Emergency Contact address

Emergency Contact phone number

Volunteer Information

Where did you hear about our volunteer program?

Why do you want to volunteer at Medina Creative Housing?

Do you have any physical needs
that require special arrangements?

If yes, please explain

Days and time available

Skills and Experience

Tell us in which areas you are interested in working?

Medina Farmer's Market

Events (can list specific Event in Additional Information)

Fundraising

Horse Riding Program

Additional Information

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Summarize your previous volunteer experience.

The mission of Medina Creative Housing is to develop quality housing, services and supports to enable individuals with disabilities to live their lives with dignity and opportunity.

Learn More About Us at www.MedinaCreativeHousing.com

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