Volunteer Application — Bridging The Gap CommunityCare Solutions, Inc.

Thank you for your interest in volunteering with CommunityCare Solutions. Please complete all sections and return this form to [email protected] or bring it to any of our events.

Personal Information

First Name

Last Name

Date of Birth

Phone Number

Email Address

Street Address

City

State

ZIP

Emergency Contact Name

Relationship

Emergency Contact Phone

Areas of Interest

Please check all areas where you would like to serve:

Food Distribution / Bagged Lunches

Housing Stability Support

Supportive Services / Case Mgmt

Event Setup & Coordination

Administrative / Office Support

Outreach & Community Engagement

Transportation Assistance

Social Media / Marketing

Fundraising & Donor Relations

Youth Programs

Faith-Based Outreach

Other (specify below)

Other / Additional Interests

Availability

Day	Morning (8am–12pm)	Afternoon (12pm–5pm)	Evening (5pm–8pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Hours available per week (estimated)

Start date available

Skills & Experience

Relevant Skills, Certifications, or Training

Previous Volunteer or Community Service Experience

Why do you want to volunteer with CommunityCare Solutions?

References (2 Non-Family)

Reference 1 — Full Name

Relationship

Phone

Reference 2 — Full Name

Relationship

Phone

Agreement & Signature

By signing below, I confirm that the information provided is accurate and complete. I understand that volunteering with Bridging The Gap; CommunityCare Solutions, Inc. is a privilege and I agree to uphold the organization's values of compassion, dignity, and purpose. I consent to a background check if required for my volunteer role.

Volunteer Signature

Date

Printed Name

Bridging The GapCommunityCare Solutions, Inc.

Bridging The Gap
CommunityCare Solutions, Inc.