Volunteer

Volunteer at Focus

Do you want to serve the Racine community?
Are you passionate about making healthy lifestyle choices and living a life free of substance abuse?
Do you have ideas and talents that can expand the Focus mission?
Come volunteer for Focus on Community!
Fill out our volunteer form below and someone will reach out to you shortly!

Volunteer Form

* Indicates required field

Personal Contact Information:

Name: *

First

Last

Current Address: *

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City

State

Zip Code

Country

Preferred Phone Number: *

Current Address: *

Preferred contact time: *

Morning Afternoon Evening

Email *

Background Information:

Employment History: *

Education: *

Special Training or Skills: *

Have you ever been convicted of a crime? (If yes, please explain the nature of the crime and the date of the conviction and disposition) Conviction of a crime is not and automatic disqualification for volunteer work: *

How did you learn about this program? *

Do you have any allergies or special considerations? *

Emergency Contact Information:

Name: *

Relationship with Volunteer: *

Emergency Contact Address: *

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City

State

Zip Code

Country

Preferred Phone Number: *

Email Address: *

Privacy Practice Statement

We protect your personal information and adhere to all legislative requirements with respect to privacy. We do not rent, sell or trade or lists of volunteers. We use your personal information to keep informed and up to date activities of the organization and its specific programs including, but not limited to; opportunities to volunteer, upcoming events, educational opportunities, and seasonal greeting.

Please read the following 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 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. I understand that misrepresentations or omissions may cause my immediate rejection as an applicant for a volunteer position or my termination as a volunteer.

Digital Signature: *

Date: *

Submit

Focus works to unite our community in an effort to prevent substance abuse and inspire healthy life choices.

1240 Washington Avenue
Racine, Wisconsin 53403
(262) 632-6200
Email: focus@focusracine.org

Follow Focus on Community on Social Media:

Focus is a 501 (c) 3 Organization.