Helping the homeless in Michiana since 2012.    

Volunteer Form

    NAME:
    EMAIL:
    PHONE:
    Address:
    Other contact:
    Have you ever been convicted of a felony?
    Have you ever been convicted of a misdemeanor?
    Why do you want to volunteer at Michiana Five?
    Work requirements and special skills:

    At Michiana Five, volunteers often need to move large amounts of donations around and lift heavy boxes. Are you able to lift items?
    If you have a weight restriction regarding lifting, please clarify:
    Are there any physical or other limitations we need to know about?
    Michiana Five volunteers often make cold calls to companies and stores, asking for donations. Volunteers will be provided with a script to follow, as well as a list of stores and which items to ask for from a particular store. Do you feel comfortable calling stores, asking for donations?
    Sometimes volunteers conduct mini-research projects, such as looking up what companies make a certain product or compiling lists of other agencies which provide similar services. Are you willing or able to work on the computer to conduct research?
    Michiana Five volunteers assist clients at all hours of the day, every day of the week. We don’t expect you to be quite that flexible, but please indicate which times and days you would be available:
    Time available on Mondays:
    Time available on Tuesdays:
    Time available on Wednesdays:
    Time available on Thursdays:
    Time available on Fridays:
    Time available on Saturdays:
    Time available on Sundays:
    Are there any skills or experience from your background which you believe could be utilized while volunteering?
    As a street outreach agency that serves the homeless, we meet with people who are often the target of misconception or prejudice. Do you have any concerns about dealing directly with homeless people?