Kokua Team — LIV.

Have a skill or time you are willing to volunteer for a LIV client in need?

Name

First Name

Last Name

Phone

(###)

###

####

Church You Attend

Describe what you can offer to LIV clients in need

Example: "I can make and deliver meals twice a week to a client" "I am willing to donate the labor to diagnose and potentially fix a car issue" "I can offer my professional skills to..."

Describe the normal amount of hours or time you are willing to donate per week

Example: You can say "at least 2 but probably not more than 6" or "2 hours once a week" or "one meal per week"

Have you been convicted of any crime? If yes, please describe the circumstances

Are you willing to take part in a background check if needed?

Name and Phone Number of a Church leader who can vouch for you