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English (US)
Volunteer Application
Kinship of Morrison County
First Name
Last Name
How did you hear about Kinship (check all that apply)
Newspaper, radio, flyer
Current Kinship Participant
Referred by a counselor / social worker
Word of mouth from community member
Who shared with you about Kinship?
Why would you like to become a volunteer mentor in Kinship's youth mentoring program?
Please describe any major life change you anticipate within the next year. (i.e. personal, vocational, residential, etc.). Kinship volunteers commit for one year at a time.
Date of Birth
/
Month
/
Day
Year
Date
Gender
Male
Female
Please upload or take a picture of yourself. (NOTE: Kinship staff can take your picture if you prefer.)
Browse Files
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of
Email
example@example.com
Address Line 1
City
State
Zip Code
How long have you lived at this address?
Less than 1 year
1-5 years
5-10 years
Over 10 years
Please list all other cities & states you have lived at in the past 10 years.
Mobile Phone
Home Phone (if other than Mobile Phone)
How do you prefer to be contacted? (check all)
Mobile Phone (call)
Mobile Phone (text)
Home Phone
Work Phone
Email
Mailings
Face-to-face
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About You
Please mark your family status
Single
Married
Divorced
Separated
Widowed
Cohabitating
What is your spouse's name?
How many years have you been married?
Please list names, ages & relationships of those in your household (other than you & your spouse (if married)):
Please share a bit about your family?
Place of Employment
Please share a bit about your work and how long you have been at your job.
Work Phone (if you are able to be contacted at work)
Please describe your educational background.
Do you or have you served in the Military?
Yes
No
Which branch did you serve in? What was your military occupation? What was the date & type of your discharge?
Please describe your experience volunteering with any other organization or group. Include volunteering or work experience with children / youth.
Are you affiliated with a church?
Yes
No
Which church / denomination?
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Emergency Contact
Emergency Contact in case we are not able to contact you.
First Name
Last Name
Emergency Contact's relationship to you.
Emergency Contact's Phone Number
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Hobbies, passions & interests
Kinship is all about sharing everyday adventures. Your interests are used in part to determine which child you will be matched with.
Please list your favorite interests, hobbies & activities.
Mark all of the "Woods & Fields" activities you enjoy or would like to try.
Bike riding
Camping
Croquet
Cross Country Skiing
Picnicking
Sledding
Snowmobiling
Snowshoeing
Hunting
Target Shooting
Archery
Snow Boarding
ATV / 4 Wheeling
Hiking
Roller Skating / Blading
Mark all of the "Indoor" activities you enjoy or would like to try.
Puzzles
Board / Card Games
Visiting / Talking
Watch a movie
Cooking / Baking
Play Ping Pong
Play video games
Mark all of the "Heart & Soul" activities you enjoy or would like to try.
Bible Study
Going to Church
Growing in my faith
Mark all of the "Sports" activities you enjoy or would like to try.
Badminton
Baseball
Basketball
Football
Golf
Hockey
Roller Skating / Blading
Running / Jogging
Soccer
Softball
Swimming
Tennis
Volleyball
Wrestling
Weight Lifting
Mark all of the "Going Out" activities you enjoy or would like to try.
Shopping
To a fair (county / state)
To a zoo
To auto racing
To museums
To music concerts
To plays / musicals
To sporting event
To the library
To the movies
Mini Golf
Bowling
Mark all of the "Getting Dirty" activities you enjoy or would like to try.
Auto mechanics
Gardening
Farming
Fixing Things
Mark all of the "Arts & Hobbies" activities you enjoy or would like to try.
Drawing
Making Crafts
Model Making
Painting
Photography
Reading
Scrapbooking
Sewing / Knitting
Woodworking
Writing Poems
Play Musical instrument
Singing
Carving / Whittling
Collections
Mark all of the "Animals" activities you enjoy or would like to try.
Pets
Humane Society
Farm Animals
List your favorite animals below
Mark all of the "On the Water" activities you enjoy or would like to try.
Boating
Canoeing
Fishing
Sailing
Swimming
Water Skiing
Is there anything you dislike or cannot do?
What do you think you would most enjoy doing with your new sidekick (aka Kinship youth)?
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References
We request that you give us four references who can confidentially attest to your character, personality, strengths & weaknesses and your willingness to follow through on commitments; basically they will be asked to give a snapshot of who you are as a person, and potential mentor, through their eyes. Please notify them that they will receive either an email or letter in the mail to complete the reference check. All information provided by your references is vital to our screening process and is confidential. You will not be able to view the forms your references complete.
Reference #1
First Name
Last Name
Your relationship to Reference #1
Family Member / Relative
Employer / Co-worker
Friend / Neighbor
Other
Reference #1: Address
Street Address
City
State
Zip
Reference #1: Email
example@example.com
Reference #1: Phone Number
Reference #2
First Name
Last Name
Your relationship to Reference #2
Family Member / Relative
Employer / Co-worker
Friend / Neighbor
Other
Reference #2: Address
Street Address
City
State
Zip
Reference #2: Email
example@example.com
Reference #2: Phone Number
Reference #3
First Name
Last Name
Your relationship to Reference #3
Family Member / Relative
Employer / Co-worker
Friend / Neighbor
Other
Reference #3: Address
Street Address
City
State
Zip
Reference #3: Email
example@example.com
Reference #3: Phone Number
Reference #4
First Name
Last Name
Your relationship to Reference #4
Family Member / Relative
Employer / Co-worker
Friend / Neighbor
Other
Reference #4: Address
Street Address
City
State
Zip
Reference #4: Email
example@example.com
Reference #4: Phone Number
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Consent to join Kinship
I understand the nature of the Kinship of Morrison County youth mentoring program and I want to participate in it. Click the link below to review Kinship's Code of Conduct & Release of all Claims. This agreement is valid until December 31, 2023
Today's Date
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Month
-
Day
Year
Date
Your Signature
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