One Team. One Mission. One Voice

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Get Help
Who We Are
What We Do
Get Involved
Work With Us
Merchandise Shop

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One Team. One Mission. One Voice.

Contact CFAC

(479) 621-0385

Main Campus:
2113 Little Flock Drive
Little Flock, AR 72756

Satellite Facility:
Western Benton County
1555 Shankles Rd.
Gentry, AR 72734

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Volunteer Application

First Name

Last Name

Preferred Name/Pronouns:

Date of Birth

Email

Phone

Employer:

Position Title:

Mailing Address:

Emergency Contact:

Background & Safety:

1) Have you ever been convicted of a serious crime?

Yes No

2) Are there any physical/medical conditions we should be aware of?

Yes No

Reference:

What area(s) of Volunteer Service at the CFAC interest(s) you the most?

Clerical Support Youth Engagement Gardening/Landscaping Residential Prep Other Ideas

Availability (Volunteer hours are Monday through Friday, 9:30AM to 4:00PM, and Thursdays 9:30AM-6:00PM):

Monday Tuesday Wednesday Thursday Friday

Background Check Payment: Would you like to contribute $50 to the cost of your background check?

Yes Not currently

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.