become a Volunteer Thanks for your support Corazón Volunteer Sign Up Your full name* Address* Address Line 2 City Postal / Zip Code Country: — Home Phone Mobile Phone* Your email* Age Younger than 2121 or over Language Skill: English Very GoodGoodFairPoorVery Poor Spanish Very GoodGoodFairPoorVery Poor Why do you volunteer?* Assignments*: Which of the following volunteer opportunities are you interested in? (check all that apply) EventsChilcareResource CenterData entryOffice AdminTranslationDelivery / MovingGardeningDelivery of essential items Note: In order to provide childcare you will have to agree to a background check and be fingerprinted, along with submitting the negative results of a TB test. Availability*: Weekdays – DaytimeWeekdays – EveningWeekendsRecurring commitmentOne-time oportunities References: Please list two people who know you well and can attest to your character, skills, and dependability. Please enter names and phone numbers Opt-in to receive text messages? YesNo Please read the following carefully before signing this application: I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Corazón that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Corazón. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Corazón or my termination as a volunteer. Do you Agree?* YesNo