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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.

1.

Member Information:

2.

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

YES NO

If Yes, please indicate your volunteer experience below:

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

Name of Organization

Address/Location

Description of Activities

Resident (1)

Resident (2)

Name

Telephone

Email

(please continue on reverse side)