The first step to becoming a volunteer or obtaining an internship is filling out the information requested below and clicking on the "Submit" button at the bottom. Should you encounter any problems completing this form, please use our printable version here. It requires Adobe Reader, which can be downloaded free here.

After receiving your application, I will contact you to make an appointment for an interview. Our volunteers are essential to Casa Teresa success and we hope you will be able to join us in becoming a volunteer and helping us save lives.

Thank You,

Yvonne Lopez
Volunteer and Donations Coordinator

Please provide the following information:

Date (mm/dd/yyyy): / /

Name: First: Last:

Address:
Number and Street:
City: State: Zip:

Home Telephone: Work Telephone:

Email:

Present Occupation:

Previous Occupations/Experience:

1. How did you learn about Casa Teresa?

2. Why are you interested in volunteering for Casa Teresa?

3. Have you any previous experience with unwed mothers and/or adoption?

4. How many hours per week or month can you volunteer for Casa Teresa?

5. Are you willing to commit for a 6-12 month period?
No Yes

6. What specific days and hours would you be available? (Check as many as apply)
Days: Monday Tuesday Wednesday Thursday Friday
Hours? Mornings Afternoons Evenings

7. Is there a period of time when you are not available?

Casa Teresa has needs in the following areas. Please indicate your areas of interest or experience:
Office Computers:
    answering phones assisting with mailings data entry
   Preparing:
    documents labels rosters
Babysitting:
    daytime evening (most needed: 6:15-8:15)
Teaching:
    child care budgeting career skills computer training meal prep exercise crafts
Donations:
    sorting cleaning selling room cleaning and organizing
Events:
    assisting at events greeting guests registering guests
Other (specify):

Please list 2 references that we may contact regarding your ability to volunteer:
Name: Telephone: Relationship:
Name: Telephone: Relationship:

Please list 2 emergency contacts that we may contact in the event of an emergency:
Name: Telephone: Relationship:
Name: Telephone: Relationship: