Volunteer Registration

Complete the following form if you would like to become a Catonsville Emergency Assistance volunteer.

Volunteer Registration Form

First Name*

Last Name*

Address*

City*

Zipcode*

Home Phone*

Cell Phone*

Email*

Physical Limitations - Note: some tasks include lifting boxes of food that weigh approximately 25 pounds; and others include going up and down stairs carrying bags or boxes of food.*

Current or prior volunteer positions

How did you learn about Catonsville Emergency Assistance?

Check if you are representing one of the groups below and specify its name below

Community Group

School

Religious Group

Group Name - Fill in only if you checked Community, School or Religious Groups above

Emergency contact name*

Emergency contact relationship

Contact phone number*

Alternate contact phone number*

Birth Date*

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