First Baptist Church Computer C.A.F.E
Computer Awareness For Empowerment
710 Randolph Street, NW, Washington, DC 20011
telephone: (202) 541-5012 - fax: (202) 541-5008

VOLUNTEER QUESTIONNAIRE

 

Please fill out the following information below.

 

Contact Information

 

Name                                                                                                                                                 

 

Date of Birth                                                                                                                                       

 

Primary Address

 

Address Line One                                                                                                                              

 

Address Line Two                                                                                                                              

 

City                                                      State                              Zip Code                                          

 

Other Address

 

Address Line One                                                                                                                              

 

Address Line Two                                                                                                                              

 

City                                                     State                              Zip Code                                          

 

E-mail

 

Primary                                                                                                                                              

 

Secondary                                                                                                                                          

 

Other/URL                                                                                                                                          

 

General availability is as follows:

            Morning <Circle Day(s)>:  Monday, Tuesday, Wednesday, Thursday, Friday

            Evening <Circle Day(s)>:  Monday, Tuesday, Wednesday, Thursday, Friday

            Weekend

            Depends on specific date/time required

 

I would be interested in the following activities:

      Designing classes            Teaching classes                  Supervising open computer lab

      Facilitating business center          Acting as a computer help desk resource

      Mentoring              Tutoring           Marketing/Promoting          Fundraising

 

      Other (please describe)                                       

 

I would be interested in serving as a(n):

     Activity Coordinator

     Business Center Facilitator

     Chess Instructor

     Computer Lab Assistant

     Computer Lab Instructor

     Dance Instructor

     Food Coordinator/Preparer

     Fundraiser

     Grant Writer

     Homework Helper

     Music Instructor

     Promoter

     Special Event Planner

     Vocals Instructor

Additional Information

 

Please list the languages you are comfortable with, other than English:                                          

 

                                                                                                                                                           

 

How did you hear about us?                                                                                                              

 

Have you volunteered your skills before?  If so, where?                                                                   

 

                                                                                                                                                           

 

                                                                                                                                                           

 

I have the following ideas about programs and services, which could be offered through the FBC C.A.F.E.:                                                                                                                                

 

                                                                                                                                                           

 

                                                                                                                                                           

 

                                                                                                                                                           

 

Is there anything else that you would like us to know?                                                                      

 

                                                                                                                                                           

 

                                                                                                                                                           

 

                                                                                                                                                           

 

 

 

 

                                                                                                                                                           

Signature                                                                                 Date

 

 

 

 

When completed, please mail form to:

FBC C.A.F.E.

Volunteer Department

710 Randolph Street, Northwest

Washington, DC  20011

 

Or send us an email at:  fbccafe@hotmail.com

 

Or call us at:  (202) 541-5012

 

Or fax us at:  (202) 541-5008

 

THANK YOU