Volunteer Registration Form

Volunteer Registration Form

Please complete this form to register as a volunteer with Mitchell's Place. Note: this form is not for internship opportunities. Upon completion, you will be contacted by a Mitchell's Place employee for scheduling and next steps. For questions, or to check the status of your application, contact us at (205) 957-0294 or info@mitchells-place.com
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *

Shifts Options: Select all that apply *

	Full Day 8am-3pm	Half Day 8:30am-1:30pm	Extended Care 3:30pm- 5:30pm
Available
Not Available

Preferences in Area of Volunteering *

	Would love to!	Would like to.	Wouldn't mind helping.	Not this area.
Teacher's aid (in-class support)
Extended Day (after-school support)
Material Prep (for teachers and staff)

What is your start date? *

Month Day Year
Please select the soonest day you can start volunteering.
How long will you be available to volunteer? *

1 month 3 months 6 months One year
What is your connection to Mitchell's Place? *

Current Parent Former Parent Community Supporter No relationship
Why are you volunteering? *

To be more involved Employer Requirement
If this is a requirement, provide any documents or reports Mitchell's Place will need to submit on your behalf:
Resume (required) *

Browse Files
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I acknowledge that volunteering at Mitchell's Place, a DHR certified facility, will require the following: I certify I am at least 18 year's old, have a valid driver's license, will consent to a background check, finger printing, medical release for vaccinations, and HIPPA compliance at the volunteer's expense. *

I acknowledge and agree
I acknowledge that I will need to complete a training session with the Director of the respective department I will be serving, prior to starting my volunteer service. *

I acknowledge and agree
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