Volunteer

Name (required)

Address (required)

City, State, Zip Code (required)

DOB(required)

Telephone (required)

Address 2 (required)

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

Child CareSecretarial WorkParent EducationFood Prep.Maintenance/RepairFundraising

If other, please specify

Personal Reference:

Name 1 (required)

Address (required)

City, State, Zip Code (required)

How long have you known him/her?

Telephone (required)

Name 2 (required)

Address (required)

City, State, Zip Code (required)

How long have you known him/her?

Telephone (required)

Name 3 (required)

Address (required)

City, State, Zip Code (required)

How long have you known him/her?

Telephone (required)

If interested in caring for the children please fill in the following section:

High School

Grade completed

College

Semester Hours

Major

Degree

Name of College

Previous experience with children (including your own)
Type of experience

Name (required)

Telephone (required)

Relationship (required)

Volunteer Application