Junior Comfort Creator's Location
*
Junior Comfort Creator's Preference(s)
*
Commitment/Availability
*
Available Days to Volunteer
*
Number of Hours Available to Volunteer Each Week
*
Person Completing this form is a:
*
Junior Comfort Creator's Name
*
First Name
Last Name
Junior Comfort Creator's Current Address (No PO Boxes)
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Junior Comfort Creator's Home Phone
Country
(###)
###
####
Junior Comfort Creator's Cell Phone
(###)
###
####
Junior Comfort Creator's Email
*
Junior Comfort Creator's Current Grade (Must have graduated 5th grade)
*
Do you currently volunteer for any other organizations?
*
If so, what organization and what are some of your responsibilities?
Parent's Name
*
First Name
Last Name
Parent's Phone
*
(###)
###
####
Parent's Email
*
Junior Comfort Creator's Signature
*
Junior Comfort Creator's Date of Birth
*
(If you are 18 or older, please complete a Comfort Creator application at)
MM
DD
YYYY
Personal Reference's Name
*
First Name
Last Name
Personal Reference's Phone
*
(###)
###
####
Personal Reference's Email
*
Please Complete Your Background Check
Thank you for your interest in serving! You are almost done. Your next step is to complete a Background Check that should only take about two minutes. Select "Continue" to get started.
If you do not wish to continue with your Background Check right now, you can learn more about the Carsyn Neille Foundation at https://www.carsynneillefoundation.org/. And later you can check your email for next steps to serve!
