Volunteer | Attack Poverty

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Where will you volunteer?

Current Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

Texas Driver's License*

Social Security Number*

XXX-XX-XXXX

Church/Organization Affiliation

Volunteer Opportunities

What days are you available to serve? (Please check all that apply)

Monday
Tuesday
Wednesday
Thursday
Friday
Weekends

What time of day are you available to volunteer? (Please check all that apply)

Morning
Afternoon
Evening
Weekends (Special Events or Home Repair)

Which area would you like to serve in? (Please check all that apply)

Spiritual
Student Education
Continuing Adult Education
Advocacy
Home Repair

Spiritual (Please check all that apply)

Prayer Team
Lead Small Group

Student Education (Please check all that apply)

In School Support
After School Program
Boredom Busters

Student Education (Please check all that apply)

In School Support
After School Program
KEYS Mentoring

Student Education (Please check all that apply)

In School Support
After School Program

Continuing Adult Education (Please check all that apply)

Job for Life
ESL
GED Preparation

Continuing Adult Education (Please check all that apply)

ESL
GED Preparation

Advocacy (Please check all that apply)

Office Volunteer
Special Events

Advocacy (Please check all that apply)

Office Volunteer
Special Events

Advocacy (Please check all that apply)

Office Volunteer
Special Events

Home Repair (Please check all that apply)

Make Home Assessments
Lead Construction Team
Minor Home Repairs

Home Repair (Please check all that apply)

Make Home Assessments
Lead Construction Team
Minor Home Repairs

Home Repair (Please check all that apply)

Make Home Assessments
Lead Construction Team
Minor Home Repairs

Skills Inventory

Education Completed:

High School/GED
College Degree
Other

Do you speak and/or write in Spanish?

Yes
No

Current Employer

Does your company have a Matching Fund?

Yes
No
Not Sure

Please check all that apply

MS Word
Excel
Data Entry
Web Design
Accounting
Fundraising/Special Events
Organizational Skills
Food Preparation

Home Repair Team Assessment

Unskilled: Little or no home repair experience (can power wash, scrape, paint, caulk, yard cleanup)
Some skill: Make repairs (handy man skills, siding, soffit and trim replacement, good assistant/help to skilled person)
Skilled - Building Trades: Can do major jobs (siding replacement, sill beam replacement, structural and small roof repairs, build wheelchair ramps)
Highly skilled: Can do major repair projects requiring diverse skills and technical knowledge (could rebuild a home, do wheelchair ramps and other highly skilled work)

Home Repair Team Support Options

Truck/Trailer: I have a truck and/or trailer for hauling things
Food Prep/Delivery: Can help prepare and/or deliver food to volunteer teams at home sites

Please specify below any Specialty skill like plumbing, electrical, HVAC, framing, roofing, carpet/tile installation, carpentry/cabinetry, etc.

Please list any other way you would like to serve or support Attack Poverty and any skills or education that would be helpful:

The information contained in this application is correct to the best of my knowledge. I understand this questionnaire will be used for placement of service for Attack Poverty or one of its initiatives. I authorize Attack Poverty to conduct a criminal background check. I understand that I must complete a background check with Lamar Consolidated Independent School District to work in the public schools and will do that on my own at www.lcisd.org.

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