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Volunteer Application

First Name: *

Last Name: *

Address 1:

Address 2:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Work Phone:

Email Address: *

Date of birth:

Volunteer Interest:

Office Receptionist

Thrift Stores

Repairs & Maintenance

Cook/Meal Preparation

Good Shepherd Center/Lunch

Shelter Housekeeping

Driver/Pick Ups

Special Event: Golf Tournament

St. Martha's Food Pantry

Corpus Christi

Holiday Events

Shelter Support/Serving Dinner

Special Projects - Groups

ELS/Tutor/Mentor

Special Event: Hike for Hope

Special Event: Sharing our Bounty

Laundry

Landscaping

Offsite Cooking

Skills:

References

Person 1

First Name: *

Last Name: *

Phone:

Email Address: *

Person 2

First Name: *

Last Name: *

Phone:

Email Address: *

Specific day and time of day available? (select all that apply)

Monday:

Morning

Afternoon

Evening

Late Evening

Tuesday:

Morning

Afternoon

Evening

Late Evening

Wednesday:

Morning

Afternoon

Evening

Late Evening

Thursday:

Morning

Afternoon

Evening

Late Evening

Friday:

Morning

Afternoon

Evening

Late Evening

Saturday:

Morning

Afternoon

Evening

Late Evening

Sunday:

Morning

Afternoon

Evening

Late Evening

Group Information

School Group

Name of School:

Group Leader Name:

Phone:

Religious Organization

Name of Religious Organization:

Group Leader Name:

Phone:

Civic Organization

Name of Civic Organization:

Group Leader Name:

Phone:

Go to the "Campaign for Dignity" page by clicking on the photograph above or view our 60-second video to learn more.

Ways to Give

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Lazarus House Ministries, Inc. – P.O. Box 408, Lawrence, MA 01842 (978) 689-8575 Fax (978) 682-7004
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