Individual Volunteer Interest Survey

Instructions

Thank you for your interest in volunteering with Children's Home Society & Family Services. Please take a few moments to complete the survey below. Be sure to fill out each section in its entirety. Your personal information is protected and will not be shared with outside parties. Someone from Volunteer Services will follow up with you in a timely matter. Please note: once Volunteer Services contacts you, you will be asked to complete an application, interview, background check and agree to all CHSFS volunteer policies. The average volunteer placement process takes approximately two weeks.

** CHSFS does not accept any volunteers who need to complete COURT ORDERED community service hours.

Please provide the following (*required)

First Name*

Last Name*

Address

City

State / Province

Postal Code

Phone*

Email (if none, say NA)

Volunteer Commitment

Tell us about your availability!

1.	Will you be volunteering as an individual or as a group?

	Individual
	Group (if you are volunteering as a group please fill out a group interest survey)

2.	How did you hear about our agency?

	Friend or Family Member
	Staff referral
	Neighborhood signs
	Present or Previous client
	Other
	Website:

3.	Why are you interested in volunteering?

	(Select all that apply.)
	To complete hours for a school commitment
	To complete hours for court ordered community service
	To give back to the community
	Personal interest in CHSFS
	Other:

4.	How many hours a week are you interested in volunteering?

	(Select all that apply.)
	1-5 hours
	5-10 hours
	10-20 hours
	20-30 hours
	30-40 hours
	I would like to volunteer every other week
	I would like to volunteer once a month
	NA
	Other:

5.	How long are you interested in volunteering for?

	One time opportunity
	1-3 months
	3-6 months
	6-9 months
	9-12 months
	Over one year

6.	What time of day are you interested in volunteering?

	(Select all that apply.)
	Between 8 AM and 12 PM
	Between 12 PM and 5 PM
	Between 5 PM and 9 PM

7.	What day(s) of the week are you interested in volunteering?

	(Select all that apply.)
	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday / Sunday (please note: we have limited weekend opportunities)

Volunteer Interests

Please tell us about your primary volunteer interests. Please understand that Volunteer Services matches potential volunteers based on their primary interest areas, and their ability to perform program needs. If you are unsure about any volunteer positions, please refer back to the website for more information.

8.	Which section below most accurately reflects your volunteer interest area?

	(Select all that apply.)
	Event Committee Member (Polo, China Reunion, etc.)
	General Event or Project Support (before, during or after event or project)
	Child Care (not in home)
	In-home Child Care (Respite Provider)
	Tutor
	Intern
	Mentor - M&M
	Adoption Support
	Program or Office Support (Greeter, clerical, sorting, etc.)
	Entertainer (performers, dance groups, face painter, arts and crafts, etc.)
	Special or technical skill support (photography, accounting, legal, computer, etc.)
	Clerical Support
	Other:

9.	Which agency department would you like to support?

	Adoption
	Child and Family Support Services (includes all non-adoption services for clients)
	Development (such as marketing, fundraising, etc.)
	Administration & Finance (such as mailroom, mailroom, maintenance, accounting, HR, legal, etc.)
	Unknown

THANK YOU!

Thank you so much for taking the time to give us your feedback. Keep up to date on what is happening at CHSFS at www.chsfs.org

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