Volunteer Interest Form - Central City Concern

Thank you for your interest in volunteering at Central City Concern! After receiving your interest form, we will reach out to discuss next steps.
Questions about this form or volunteering at CCC? Please contact volunteer@ccconcern.org.

Volunteer Form

First Name *

Last Name *

Pronouns

Email Address *

Phone Number

What do you hope to gain from a volunteer experience at Central City Concern?

Volunteer position(s) interested in

OTC Concierge

Other

Are you available for a weekly or every other week commitment for at least three months?

Yes

No

Are you available between the hours of 8 am and 5 pm weekdays?

Yes

No

Have you received services from a Central City Concern health care program (Old Town Clinic, Old Town Recovery Center, CCC Recovery Center, Community Engagement Program, Hooper Detoxification Center, etc.) in the past two years?

Yes

No

Have you lived in Central City Concern housing at any point in the past two years?

Yes

No

Have you received any other CCC services or enrolled in any other CCC programs in the past two years?

Yes

No

If you answered yes to any of the above, please provide more details below such as dates and programs accessed.

I understand that to volunteer I must be willing to undergo a background check and that final clearance is based on passing the check.

Yes

No

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