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BCFI VOLUNTEER APPLICATION FORM 835 W. Genesee Street | Lansing, MI 48915 | Phone (517) 487-3775 Please complete the following information. Please print clearly. This application must be filled out completely in order to be processed. Date of Application __________________ Last Name________________ Middle Initial ___________ First Name _____________ Street Address__________________________________________________________ City______________________ State __________________Zip Code ______________ Phone Number or Contact Number__________________________________________ Current Occupation (if applicable)___________________________________________ Company Name (if applicable)____________________ Company Phone#__________ Education Check the appropriate box High School______ Name of School___________ Area of Study__________________ College__________ Name of School___________ Area of Study__________________ List skills, area of interest and talents (e.g. Office, Tutoring, Math, Writing, Reading) _______________________________________________________________________ _______________________________________________________________________ List at least 2 References: Name____________________________________________ Phone#______________ Name____________________________________________ Phone#______________ Day(s) & Time(s) Available To Volunteer _______________ MTWTF (check & circle)
9:00 am-12: 30____ 1:00 pm – 3:30 pm ____ 2:30 pm – 5:30 pm _____ Other Available Times______ Applicant Signature_____________________________________ Date____________ |