EP Volunteer Application Form

Volunteer Application

Volunteers play a major role in supporting the growth and success of our children. We truly appreciate your willingness to work as a volunteer at our program. We hope you understand that the information we are requesting is for the protection of our students.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Availability*

MondayTuesdayWednesdayThursdayFridaysSaturdaySunday
Current Employer*
Reference *

NamePhone Number
Skillsets or Area of Interests*
Fun Fact About Yourself *
Do you have experience working with youth?*
If yes, in what capacity?*
What makes you interested in working with Exposure Project? *
Have you performed volunteer work previously?*
If yes, where and what type of work did you perform?
Have you been convicted of a crime?*
A crime is a misdemeanor or felony only; this does not include violations. You do not need to disclose crimes that the court designated with a Youthful Offender.
If convicted of a crime please provide an explanation:
Additional Comments
To the best of my knowledge the information provided above is true and accurate. I understand that my failure to truthfully and accurately state whether I have been convicted of a crime may constitute grounds for denial at this program. I hereby authorize the Exposure Project to conduct work history, personal reference, police record inquiries including the National Sex Offenders Registry to determine my acceptability for volunteer work with children. I also understand that as a volunteer, I will not be alone with a student(s) at any time.
Signature*

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