Volunteer with Us!

City Mission is looking for volunteers to help us serve the City of Waterbury! We currently have different events each month, and we would love to have you come along side our team and give back to the community.

Please fill out each question on the form and we will be in touch!

Thank you for your interest in volunteering with City Mission. Please fill out the information below:

Name

This address will receive a confirmation email

Phone

Address

Date of Birth

Gender

Please select one option.

Male Female

Where did you hear about us?

Do you speak any other languages besides English?

Do you have volunteering experience, if so where?

What is your current occupation?

Do you have reliable transportation?

Please select one option.

Yes No

Available Days & Times

Please select all that apply.

Tuesdays Thursdays Fridays Mornings 9-12 Afternoons 12-3 One-Time / Special Event

Do you currently have any legal restrictions that would prevent you from being around children?

Please select one option.

Yes No

Are you able to stand for extended periods of time?

Please select one option.

Yes No Depends

Which answer below best describes your abilities?

Please select one option.

I am unable to carry or lift items. I can carry and lift items weighing 10 pounds or less. I can carry and lift items weighing between 10 and 25 pounds. I can carry and lift items weighing between 25 and 50 pounds. I can carry and lift items weighing between 50 and 100 pounds.

Do you have any limitations or disabilities that would require special accommodation in a physically active volunteer position?

Please select one option.

Yes No

Why are you interested in volunteering with City Mission?

Volunteer with Us!

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