Volunteer Application

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Birth Date *

Are volunteer hours a requirement for school? *

Yes

No

Are volunteer hours a requirement to complete a program? *

Yes

No

Have you ever been convicted of a crime? (If yes, please explain the nature of the crime and the date of the conviction and disposition.) Conviction of a crime is not an automatic disqualification for volunteer work. *

I am interested in the following volunteer positions available:

School Age Learning Center Volunteer Assistant (If 18 years of age or older clearances will be necessary)

Junior Camp Counselor (ages 13-17)

Safe Home Volunteer (training provided and clearances required)

Girls Loving Life Volunteer (clearances required)

Early Learning Center Reading Volunteer (clearances required)

Photographer/Videographer

I would like more information on available committee openings:

Finance Committee

Personnel Committee Facility/Safety Committee

Fund Development Committee

Advocacy Committee

Availability (choose all that apply)

Evenings

Weekends

Mornings

Afternoons

Availability Part 2 (choose all that apply)

Weekly

Bi-weekly

Monthly

To be determined

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