CIS Dallas Volunteer

Name*

First NameMiddle NameLast Name
Email*
example@example.com
Home/Cell Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Please upload a copy of your Driver License.*

Browse Files

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Please click here, download, complete and upload the DPS CCH Verification Form
Upload signed DPS CCH*

Browse Files

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Are you currently enrolled as a student?

YesNo
Please list groups/organizations with which you are affiliated.
References:

Please list two professional or personal references. These references should not reflect your immediate relatives or friends.
Name of Reference #1

First NameLast Name
Reference #1 Phone

Area CodePhone Number
Name of Reference #2

First NameLast Name
Reference #2 Phone

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
Relation to you
Please indicate your volunteering area preference(s):

EducationFundraisingAdministration
Education

MentoringClass presentation/lectureReading with classTutoringOther
Fundraising

Event VolunteerSupply DriveOther
Adminstration

Data EntryOther
Please indicate desired frequency of volunteering.

One timeOnce a monthTwice a monthOnce a weekOther
Please indicate your availability based on desired frequency (above).

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Have you ever volunteered with children before?

YesNo
Why do you wish to volunteer in a school?
If you prefer a specific school/district, please list here.
List previous volunteer experience.
List any fluent language other than English.
Please sign your name agreeing to share your information with Communities in Schools Dallas Region

Clear
Should be Empty:

References: