Kids Lunch Club Volunteer Application
Date: _______________
Name: _______________________________________________
Address: ___________________________________ City: _____________ Zip: ___________
Phone: (home) _______________________
(cell) __________________________________
E-mail Address: _______________________________________________________________
Date of Birth (month & day) ________/_________
Languages Spoken: □ English
□ Spanish
□ Somali □ Other _______________________
Highest Education Level and Area of Study:
_____________________________________________________________________________
Church Affiliation: _____________________________________________________________
Skills: ________________________________________________________________________
_____________________________________________________________________________________
How did you hear about WARM?
______________________________________________________________________________
Why are you interested in volunteering?
______________________________________________________________________________
______________________________________________________________________________
Areas of Interest (please mark all that apply):
□ Arts
□ Music
□ Drama
□ Sports/Physical Education
□ Crafts/games
□ Reading
□ Nature
□ Nutrition
Have you volunteered with KLC before?
□ Yes
□ No
If so, where? ________________________
Preferred Day(s):
Monday
Tuesday
Wednesday
Thursday
Friday
Availability: □ Weekly □ Monthly □ One Time □ Other _____________________________
Are there any dates falling within above specifications where you cannot commit to volunteer? (Planned
vacations, doctor’s appointments, etc?) If so when? ____________________________________________
Preferred Site
□ Alum Creek South Park □ Newcastle Townhomes □ Strawberry Farms Park □ Abbey Lane Apartments
□ Walnut Ridge Park □ Parkridge Park
Application can be submitted by:

Mail or Hand deliver to:

Fax to: (614)899-1042

E-mail to: [email protected]
Westerville Area Resource Ministry, Attn: Stephen Gale
150 Heatherdown Drive
Westerville, Ohio 43081
Volunteers are the hands and heart of our ministry. They help WARM provide a “hand up rather than a hand
out” to those in need, as well as carry out our mission.