Santa Rosa Kids' House - Santa Rosa County Florida

Name:
Date of Birth:
Address:
City:
State:
Zip Code:
Email:
Home Phone Number:
Cell Phone Number:
1. What areas are you interested in? (Please check each area in which you would be willing to volunteer.)	General office (phones, filing, mail) Date Entry Research Fundraising/Special Events Donation Room
2. Which days of the week would you be available? (Please check each day of the week you are interested in.)	Monday Tuesday Wednesday Thursday Friday Weekends
3. Would you prefer to volunteer: (Please check each time of day that you are interested in working.)	Mornings Afternoons Nights & Weekends After-school & Holidays
4. How often are you willing to be scheduled? (Please check the frequency that you would be available.)	Once a week Once every 2 weeks Once a month When needed

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3.2 million reports of child abuse were reported in the US for 2007.