CAHS Volunteer Application

CAHS Volunteer Application

    CAHS Online Volunteer Application - * indicates required fields
    1. First Name

    2. Last Name

    3. Street Address

    4. City

    5. State

    6. Zip Code

    7. Primary Phone

    8. Secondary Phone

    9. Email Address

    10. Do you have a child in the program? YesNo

    11. Child’s Name

    12. Center


    13. HOT (Hands-On Training) is a training program to prepare you for employment with CAHS. Completing the program does not guarantee anyone employment with CAHS but will make you more successful in the application process.

    14. Do you want to be in the Hands on Training program? YesNo

    15. Are you a volunteer that is not looking for employment with CAHS? YesNo

    16. Do you have a High School diploma or GED? YesNo

    17. If yes, is your diploma from the USA? YesNo

    18. Have you lived in PA 10 years or more? YesNo

    19. Do you have a Driver’s License? YesNo

    20. Do you have a copy of a current TB test? (You must provide a hard copy before your first day of volunteering.) YesNo

    21. Are you presently employed? YesNo

    22. If employed, Name of Present Employer:

    23. What are any special skills or qualifications you would like us to know about?

    24. Person To Contact In Case Of Emergency
      1. Emergency Contact

      1. Phone Number