Volunteer Application

Personal Information

Address:

Street Address (required)

City (required)

State (required)

Zip code (required)

Area(s) of Interest:

(Note: If you are interested in food prep or childcare, you must have a physical and a TB test).

Child Care Secretarial Work Parent Education

Food Prep.Maintenance/RepairFundraising

If other, please specify

Personal References:

Reference 1

Name 1 (required)

Telephone (required)

Address (required)

City (required)

State (required)

Zip code (required)

How long have you known him/her?

Reference 2

Name 2 (required)

Telephone (required)

Address (required)

City (required)

State (required)

Zip code (required)

How long have you known him/her?

Reference 3

Name 3 (required)

Telephone (required)

Address (required)

City (required)

State (required)

Zip code (required)

How long have you known him/her?

Education

High School

Grade completed

College

Semester Hours

Major

Degree

Name of College

Experience

Previous experience with children (including your own)

Type of experience

The days you prefer to volunteer

Monday TuesdayWednesdayThursdayFriday

What hours can you volunteer on the day circles? From:

To:

Emergency Contact

Name (required)

Telephone (required)

Relationship (required)