After-School All-Stars Hawaii Adult Volunteer Application

ADULT VOLUNTEER APPLICATION
CONTACT INFORMATION
Name *
Street Address *
City, State Zip Code *
Home Phone/Cell Phone *
E Mail Address *
example@example.com
Are you presently attending High School? *

Yes No
If yes, name of High School:
If yes, please provide the name and phone number of one of your High School Teachers who can provide a reference for you.
Name
Phone
Did you take part in an ASAS Program in Middle School? *

Yes No
If yes, what school and when?
Are you over 18 years old? *

Yes No
AVAILABILITY
During which hours are you available for volunteer assignments? *

Weekday mornings Weekend mornings Weekday afternoons Weekend afternoons Weekday evenings Weekend evenings
HOW WOULD YOU LIKE TO HELP?
Tell us in which areas you are interested in volunteering *

Events Administration Marketing Fundraising Enrichment/Recreational Classes Tutoring Other
SPECIAL SKILLS OR QUALIFICATIONS
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
PERSON TO NOTIFY IN CASE OF EMERGENCY
Name *
Relationship *
Home Phone
Work/Cell Phone *
AGREEMENT AND SIGNATURE
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in my immediate dismissal.

I understand that a background check (State and Federal) will be conducted before I can volunteer for After-School All-Stars Hawaii.

I agree, that if I am selected to be a volunteer at After-School All-Stars Hawaii, I will volunteer for at least 20 hours per quarter, said hours will be at the convenience of the program.
Name *

First Name Last Name
Signature *

Clear
Date *

Month Day Year
OUR POLICY
It is the policy of After-School All-Stars Hawaii to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.

Because we work in conjunction with the Department of Education, all adult volunteers will be required to undergo a State and Federal background check.
Should be Empty:

ADULT VOLUNTEER APPLICATION

CONTACT INFORMATION

AVAILABILITY

HOW WOULD YOU LIKE TO HELP?

SPECIAL SKILLS OR QUALIFICATIONS

PERSON TO NOTIFY IN CASE OF EMERGENCY

AGREEMENT AND SIGNATURE

OUR POLICY