Informational Interview Volunteers

Informational Interview Volunteers

Thank you for your interest in being an Informational Interview Volunteer. This program allows our teenage members to connect with individuals like yourself to learn more about your experience and background as they explore their own career interests. If you have any questions about the following application, please email Monique Harrington at mharrington@wayclub.org.
Full Name*

First NameMiddle NameLast Name
Contact Number*
E-mail*

Confirmation Emailexample@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
MaleFemaleOther
YesNoOther
If yes, in what way(s)?
Please describe why you wish to be an Informational Interview Volunteer:*
Education & Career

The following details may be included in the Informational Interview directory to help members identify individuals they wish to connect with.
High School Name
High School Graduation Year
Name of College/University
College Major
College Graduation Year
Other Education
Occupation/Title
Name of Employer
Number of Years of experience within this career field
Please upload a current photo of yourself (headshot).

Cancelof
Information/Media Release

I hereby grant to The Way Club and any licensees, agents, and assignees thereof (collectively, “Way Club”) the perpetual, irrevocable, global and unrestricted right to use, reproduce, publish and copyright (collectively, "Use") the information provided in this application including your name, photo, contact and education and career information for the purposes of the Informational Interview Program as well as in our marketing materials to promote Way Club, which includes but is not limited to: print, website and social media.
I agree
Yes, subscribe me to Way Club's e-newsletter.
Clearances

All Way Club Volunteers who are age 18 or older are required to complete a PA Criminal Background Clearance and a PA Child Abuse Clearance. Those who have lived outside of PA in the last 10 years will also need to provide a Federal Bureau of Investigation (FBI) Fingerprint Clearance. Instructions on how to obtain and submit clearances will be emailed after submission.
YesNoOther
YesNoOther
By signing below, I hereby acknowledge that I have completely read and fully understand the importance of my role in this program. I agree with The Way Club's Volunteer Program's Policies and Procedures. I also affirm the truth of all information provided within this application.
Print Name*
Date of Signature*

MonthDayYear
Date
Signature*
Thank you for your interest in being a part of The Way Club's Volunteer Team!
Should be Empty:

Informational Interview Volunteers

Education & Career

Information/Media Release

Clearances

Thank you for your interest in being a part of The Way Club's Volunteer Team!