Volunteer Match Program

Volunteer Match Program

Resident Interest Survey Note: Information provided below is strictly on a voluntary basis and will ONLY be used to develop the French-

man’s Creek Volunteer Match Program (FCVMP) resident and organization registry.

Member Information:

1.

Resident (1)

Resident (2)

Name

Telephone

Email

YES NO

2. Do you currently volunteer (or have you recently volunteered)?

If Yes, please indicate your volunteer experience below:

Name of Organization

Address/Location

Description of Activities

3. Would you like the organizations you listed above to be included in the FCVMP registry of organizations seeking volunteers? YES NO

4.(a) Are you interested in a new (or additional) volunteer opportunity?

YES NO

(b) If “Yes”, how much time do you think you might be able to devote as a volunteer on an occasional or on a fairly regular basis?

A few hours for a one-time event or a special project

One hour a week

Two to three hours a week

Four or more hours a week

Not sure

(please continue on reverse side)