Holmes STEM Academy
Volunteer Application Form
Name
First Name
Last Name
How did you find out about us?
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Days Available To Volunteer (BETWEEN 10AM AND 2PM, MIN. 1 HOUR)
TUESDAY
WEDNESDAY
THURSDAY
Volunteer For A Day -(INDICATE TIME AND DATE BELOW)
Comments
Area of Interest (You May Choose More Than One)
Fundraising (Can be done offsite)
Grant Writing (Can be done offsite)
Outreach (Can be done offsite)
Math Helper
Reading Helper
STEM training
Compass Club
Crafting
Play games (Connect 4, Jenga, etc...)
Activity planning
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Comments
Reference 1
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How do you know this person?
How long have you known this person?
Reference 2
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How do you know this person?
How long have you known this person?
Questions?
Call Susan at 810-993-1958 or email sbyrd@crimamericorps.org
Submit
Should be Empty: