Thank you for your interest in volunteering at ECCCM!

 

You are an important part of this ministry.

Contact Information

Birth Date (mm/dd/yyyy)*
Gender*
  • Female
  • Male
Country
State / Province*
Address
City
Email*
Confirm Email*
Phone*
Church Affiliation

Emergency Contact Information

Please list who you would want us to contact in the event of an emergency.

Emergency Contact Name
Emergency Contact Phone
Emergency Contact Mobile
Physician Name
Physician Phone

Volunteer Information

Volunteer Area of Interest*
  • Thrift Store
  • Warehouse
  • Grocery Pickup
  • Truck Driver/Grocery Pick up
  • Food Pantry
  • Data Entry
Days Available*
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
Time Available*
  • Morning
  • Afternoon
  • All Day
Can we send you our electronic newsletter?*
  • Yes, send me a newsletter!
  • No thanks, not at this time.
Additional Comments

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