Junior Comfort Creator's Location
*
Junior Comfort Creator's Preference(s)
*
Hospital Delivery Kit Deliveries
Community-Partnered Events
Sustainable Design: Rooms to Thrive™
Junior Comfort Creator Committee
Technology (Photography/Videography, Automation, AI)
Communications (Social Media, Marketing, Copy Write, Editing)
Fundraising (Comfort Kits, P2P, Ambassador)
Administrative Support (Retention, Email)
Commitment/Availability
*
Quarter 1: Jan - Mar
Quarter 2: Apr - Jun
Quarter 3: Jul - Sep
Quarter 4: Oct - Dec
Available Days to Volunteer
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Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Number of Hours Available to Volunteer Each Week
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1 - 5
5 - 10
10 - 20
20 +
Person Completing this form is a:
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Junior Comfort Creator (under 18)
Parent or Guardian of a Junior Comfort Creator
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
(###)
###
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Junior Comfort Creator's Email
*
Junior Comfort Creator's Current Grade (Must have graduated 5th grade)
*
Do you currently volunteer for any other organizations?
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Yes
No
If so, what organization and what are some of your responsibilities?
Parent's Name
*
First Name
Last Name
Parent's Phone
*
(###)
###
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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!