Teen Volunteer Application

Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age or sex.

* Denotes required field

*First name:

*Last name:

Middle initial:

Preferred name:

*Date of birth (mm/dd/yyyy):

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*Address:

*City:

*State:

*Zip:

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*Phone:

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*Email address:

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*Have you ever worked or volunteered here before?

Yes

Mother's name:

Mother's Phone:

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Father's name:

Father's phone:

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*Emergency contact name:

*Emergency contact phone:

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*Relationship:

*School name:

Is volunteer work required for school?

Yes

If yes, how many hours?

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*What is the last grade you have completed?

*What is your GPA?

Other training or certification:

*Briefly describe your employment history:

Briefly describe any past volunteer experiences:

*Have you ever been convicted of a violation of the law other than a minor traffic violation?

(In each case, the volunteer services department will consider if the offense of the applicant will have a bearing on the applicant's capability to perform volunteer service satisfactorily.)

Yes

If yes, what was the charge?

If yes, how was the situation resolved?

Reference 1

*Name:

*Relationship:

*Address:

*City:

*State:

*Zip:

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*Phone:

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Reference 2

*Name:

*Relationship:

*Address:

*City:

*State:

*Zip:

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*Phone:

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Availability

*Please describe your availability:

* The above information is accurate and correct to the best of my knowledge. I understand that failure to present accurate information may result in being excused from volunteer services.

A parent's signature will be necessary before a position is offered.