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USC Kid Watch Provisional Application
Hello and thank you for your interest in becoming a USC Kid Watch volunteer! Please fill out this application so we can keep you updated on all USC Kid Watch news/events. Thank you!!
Full Name
*
First Name
Last Name
Government ID/Driver's License Number
*
EX: H54354
Which school are you interested in participating with?
*
Please Select
32nd Street/ USC MaST
John W. Mack Elementary
Foshay Learning Center
Lenicia B. Weemes Elementary
Norwood Elementary
Vermont Elementary
Alexander Science Center School
St. Vincent Catholic School
Current Address
*
EX: 3423 S. Gramercy Ave.
Apartment Number
City, State, and Zip Code
*
EX: Los Angeles, CA, 90007
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is the easiest method to inform you of events and meetings? (Select all that apply)
*
Phone Call
Text Message
Facebook
Email
Date of Birth
*
-
Month
-
Day
Year
Date
T-Shirt Size
*
XS
S
M
L
XL
XXL
Other
Ethnicity
*
Have you been a USC Kid Watch member in the past?
*
Yes
No
Number of Children in Household
*
Number of Adults in Household
*
Please indicate the days of the week you are available to volunteer at your school.
*
Monday
Tuesday
Wednesday
Thursday
Friday
How many hours a week are you able to volunteer?
*
State how you qualify to be a Kid Watch member
*
Live in the community
Child attends one of the USC Family of Schools
Work and/or Volunteer at one of the USC Family of Schools
Do you have WiFi?
*
Yes
No
Do you have an electronic device to attend virtual meetings?
*
Yes
No
Do you need help connecting to any type of specific resource?
*
I understand that this is a provisional USC Kid Watch Application. Completing this application will not grant me full USC Kid Watch volunteer abilities. I must wait to pass all LAUSD and USC requirements prior to completing this process.
*
Yes
No
Signature
*
Submit
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